Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.75 / $37.42 / $65.52	Facility		$13.75	$37.42	$65.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $18.01 / $19.64	Professional		$13.75	$18.01	$19.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $12.40 / $12.40	Professional		$12.40	$12.40	$12.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.92 / $26.41 / $71.52	Facility		$14.92	$26.41	$71.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $10.21 / $41.44	Professional		$7.65	$10.21	$41.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.44 / $20.67 / $33.07	Facility		$13.44	$20.67	$33.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $13.44 / $20.67	Professional		$13.44	$13.44	$20.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.64 / $45.47 / $63.74	Facility		$20.64	$45.47	$63.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.83 / $25.19 / $31.49	Professional		$12.83	$25.19	$31.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.59 / $26.87 / $74.29	Professional		$22.59	$26.87	$74.29
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $496.85 / $496.85 / $496.85	Facility		$496.85	$496.85	$496.85
United Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $15.10 / $28.89	Professional		$9.30	$15.10	$28.89