Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $91.20 / $389.05	Facility		$24.55	$91.20	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $32.36	Professional		$18.20	$22.91	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.98 / $19.05	Professional		$13.49	$16.98	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $34.67 / $46.77	Facility		$17.78	$34.67	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.14 / $41.69	Professional		$13.18	$15.14	$41.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $18.62 / $39.81	Facility		$17.78	$18.62	$39.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $26.92	Professional		$17.78	$17.78	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $53.70 / $83.18	Facility		$30.20	$53.70	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $33.11 / $41.69	Professional		$16.60	$33.11	$41.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $38.90 / $51.29	Professional		$29.51	$38.90	$51.29
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $741.31 / $2,290.87	Facility		$707.95	$741.31	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $24.55 / $29.51	Facility		$15.14	$24.55	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.22 / $39.81	Professional		$11.48	$16.22	$39.81