Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $95.50 / $354.81	Facility		$30.90	$95.50	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $17.78 / $34.67	Professional		$10.96	$17.78	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.72 / $10.72	Professional		$10.47	$10.72	$10.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $19.05 / $23.99	Facility		$11.22	$19.05	$23.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $17.38 / $17.38	Professional		$6.92	$17.38	$17.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $17.38 / $25.12	Facility		$11.22	$17.38	$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 $19.05 / $34.67 / $53.70	Facility		$19.05	$34.67	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $20.89 / $26.30	Professional		$7.94	$20.89	$26.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.30 / $194.98	Professional		$19.05	$26.30	$194.98
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $218.78	Facility		$186.21	$186.21	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $15.49 / $17.38	Facility		$9.55	$15.49	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.47 / $25.12	Professional		$7.24	$10.47	$25.12