Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.72 / $44.11 / $210.00	Facility		$17.72	$44.11	$210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $21.92 / $48.20	Professional		$17.72	$21.92	$48.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $15.99 / $15.99	Professional		$15.99	$15.99	$15.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.23 / $33.54 / $92.21	Facility		$19.23	$33.54	$92.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $12.15 / $51.00	Professional		$9.11	$12.15	$51.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.87 / $26.65 / $42.64	Facility		$17.87	$26.65	$42.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.44 / $58.63 / $76.80	Facility		$26.44	$58.63	$76.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.12 / $32.63 / $40.79	Professional		$15.12	$32.63	$40.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.12 / $34.65 / $88.36	Professional		$29.12	$34.65	$88.36
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $353.81 / $353.81 / $353.81	Facility		$353.81	$353.81	$353.81
United Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $17.42 / $48.43	Professional		$12.00	$17.42	$48.43