Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $37.22 / $209.30	Facility		$16.98	$37.22	$209.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $15.29 / $26.88	Professional		$12.48	$15.29	$26.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $10.75 / $11.48	Professional		$10.75	$10.75	$11.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.93 / $22.89 / $62.00	Facility		$12.93	$22.89	$62.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $8.33 / $34.28	Professional		$6.24	$8.33	$34.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.65 / $17.92 / $28.67	Facility		$11.65	$17.92	$28.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $11.65 / $17.92	Professional		$11.65	$11.65	$17.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $39.42 / $55.37	Facility		$15.04	$39.42	$55.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $21.89 / $27.36	Professional		$10.39	$21.89	$27.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $23.30 / $60.61	Professional		$19.57	$23.30	$60.61
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $518.39 / $622.72 / $766.86	Facility		$518.39	$622.72	$766.86
United Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $13.81 / $35.71	Professional		$9.86	$13.81	$35.71