Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $55.99 / $419.93	Facility		$11.75	$55.99	$419.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.43 / $11.10 / $81.04	Professional		$9.43	$11.10	$81.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $6.92	Professional		$6.92	$6.92	$6.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.53 / $14.73 / $39.89	Facility		$8.53	$14.73	$39.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $8.53 / $22.17	Professional		$4.26	$8.53	$22.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.49 / $11.53 / $18.45	Facility		$7.49	$11.53	$18.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $7.49 / $11.53	Professional		$7.49	$7.49	$11.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.61 / $25.37 / $35.96	Facility		$11.61	$25.37	$35.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $13.22 / $17.55	Professional		$5.83	$13.22	$17.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $14.99 / $38.42	Professional		$12.60	$14.99	$38.42
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $295.39 / $354.82 / $427.89	Facility		$295.39	$354.82	$427.89
United Facility/Professional Professional Modifier Low / Median / High Price $6.27 / $8.36 / $16.12	Professional		$6.27	$8.36	$16.12