Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $89.10 / $406.69	Facility		$16.57	$89.10	$406.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $23.08 / $38.00	Professional		$11.48	$23.08	$38.00
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 / $22.97	Professional		$5.18	$6.91	$22.97
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 $17.09 / $37.99 / $53.31	Facility		$17.09	$37.99	$53.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $21.06 / $26.33	Professional		$19.82	$21.06	$26.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.86 / $26.02 / $186.00	Professional		$19.86	$26.02	$186.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $219.29 / $263.41 / $319.64	Facility		$219.29	$263.41	$319.64
United Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $15.54 / $15.54	Facility		$15.54	$15.54	$15.54
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $10.36 / $17.62	Professional		$7.25	$10.36	$17.62