Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.60 / $61.96 / $286.77	Facility		$18.60	$61.96	$286.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $16.89 / $38.76	Professional		$13.57	$16.89	$38.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $11.63 / $13.19	Professional		$11.63	$11.63	$13.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.99 / $24.76 / $67.05	Facility		$13.99	$24.76	$67.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.17 / $9.57 / $38.83	Professional		$7.17	$9.57	$38.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $19.38 / $31.01	Facility		$12.60	$19.38	$31.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $12.60 / $19.38	Professional		$12.60	$12.60	$19.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.35 / $42.64 / $59.57	Facility		$19.35	$42.64	$59.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $23.54 / $29.43	Professional		$11.92	$23.54	$29.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $25.19 / $69.64	Professional		$21.18	$25.19	$69.64
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $403.42 / $788.83 / $947.53	Facility		$403.42	$788.83	$947.53
United Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $13.73 / $35.22	Professional		$8.14	$13.73	$35.22