Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $80.01 / $218.60	Facility		$18.39	$80.01	$218.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $16.37 / $26.30	Professional		$11.95	$16.37	$26.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $11.03 / $12.26	Professional		$9.19	$11.03	$12.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $23.50 / $63.63	Facility		$13.28	$23.50	$63.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.81 / $10.42 / $37.01	Professional		$6.81	$10.42	$37.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.95 / $18.39 / $29.42	Facility		$11.95	$18.39	$29.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $11.95 / $18.39	Professional		$11.95	$11.95	$18.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $40.46 / $57.20	Facility		$18.38	$40.46	$57.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $22.30 / $27.88	Professional		$11.30	$22.30	$27.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $23.91 / $66.09	Professional		$20.10	$23.91	$66.09
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $96.55 / $115.99 / $146.32	Facility		$96.55	$115.99	$146.32
United Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $16.55 / $16.55	Facility		$16.55	$16.55	$16.55
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $13.43 / $33.60	Professional		$10.11	$13.43	$33.60