Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $39.81 / $151.36	Facility		$16.22	$39.81	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.85 / $34.67	Professional		$10.96	$15.85	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.30 / $12.59	Professional		$10.72	$12.30	$12.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $22.91 / $30.90	Facility		$11.48	$22.91	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.00 / $31.62	Professional		$8.71	$10.00	$31.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $11.48 / $25.70	Facility		$10.00	$11.48	$25.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $17.78	Professional		$11.48	$11.48	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $35.48 / $54.95	Facility		$19.50	$35.48	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $21.88 / $27.54	Professional		$16.22	$21.88	$27.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.12 / $64.57	Professional		$19.50	$25.12	$64.57
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $213.80	Facility		$181.97	$181.97	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $16.22 / $19.95	Facility		$9.77	$16.22	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.72 / $37.15	Professional		$7.41	$10.72	$37.15