Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $77.61 / $486.00	Facility		$18.05	$77.61	$486.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $12.57 / $60.10	Professional		$11.29	$12.57	$60.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $10.36 / $10.36	Professional		$10.36	$10.36	$10.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $18.82 / $59.75	Facility		$11.47	$18.82	$59.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $6.91 / $27.66	Professional		$5.18	$6.91	$27.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.23 / $17.27 / $27.63	Facility		$11.23	$17.27	$27.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $11.23 / $17.27	Professional		$11.23	$11.23	$17.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.37 / $37.99 / $53.31	Facility		$16.37	$37.99	$53.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.14 / $21.06 / $26.33	Professional		$9.14	$21.06	$26.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.87 / $22.45 / $46.51	Professional		$18.87	$22.45	$46.51
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,894.12 / $1,918.15 / $2,641.12	Facility		$1,894.12	$1,918.15	$2,641.12
United Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $10.50 / $31.55	Professional		$7.77	$10.50	$31.55