Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $49.25 / $162.00	Facility		$18.14	$49.25	$162.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.87 / $18.14 / $33.29	Professional		$13.87	$18.14	$33.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $12.52 / $13.91	Professional		$12.52	$12.52	$13.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.07 / $26.65 / $66.92	Facility		$15.07	$26.65	$66.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $10.30 / $42.79	Professional		$7.72	$10.30	$42.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.56 / $20.86 / $33.38	Facility		$13.56	$20.86	$33.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $13.56 / $20.86	Professional		$13.56	$13.56	$20.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.64 / $45.89 / $64.79	Facility		$20.64	$45.89	$64.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.83 / $25.61 / $32.01	Professional		$12.83	$25.61	$32.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $27.12 / $73.19	Professional		$22.79	$27.12	$73.19
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $59.25 / $71.17 / $89.78	Facility		$59.25	$71.17	$89.78
United Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $14.87 / $43.12	Professional		$11.95	$14.87	$43.12