Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $61.66 / $416.87	Facility		$15.49	$61.66	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.49 / $50.12	Professional		$11.22	$13.49	$50.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $10.72 / $24.55	Professional		$9.12	$10.72	$24.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $18.62 / $23.44	Facility		$11.22	$18.62	$23.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $12.59 / $27.54	Professional		$6.92	$12.59	$27.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.48 / $25.12	Facility		$11.22	$11.48	$25.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $17.38	Professional		$11.22	$11.22	$17.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $34.67 / $53.70	Facility		$16.98	$34.67	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $19.95 / $26.30	Professional		$7.94	$19.95	$26.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $24.55 / $46.77	Professional		$19.05	$24.55	$46.77
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,388.44 / $3,388.44	Facility		$1,949.84	$3,388.44	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $15.49 / $17.38	Facility		$7.76	$15.49	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.47 / $27.54	Professional		$7.24	$10.47	$27.54