Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $51.48 / $153.90	Facility		$18.39	$51.48	$153.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $16.55 / $21.15	Professional		$12.23	$16.55	$21.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $11.03 / $12.52	Professional		$11.03	$11.03	$12.52
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 / $9.08 / $37.01	Professional		$6.81	$9.08	$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 $210.36 / $252.72 / $303.94	Facility		$210.36	$252.72	$303.94
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $13.65 / $25.70	Professional		$10.11	$13.65	$25.70