Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.12 / $32.86 / $138.96	Facility		$17.12	$32.86	$138.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $15.54 / $29.16	Professional		$13.80	$15.54	$29.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $10.70 / $10.70	Professional		$10.70	$10.70	$10.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.87 / $22.78 / $53.35	Facility		$12.87	$22.78	$53.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $8.80 / $31.93	Professional		$6.60	$8.80	$31.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.51 / $17.82 / $28.53	Facility		$11.51	$17.82	$28.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $11.59 / $17.82	Professional		$11.59	$11.59	$17.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $39.22 / $55.56	Facility		$17.73	$39.22	$55.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $21.69 / $51.23	Professional		$16.39	$21.69	$51.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $23.18 / $64.08	Professional		$19.48	$23.18	$64.08
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $214.77 / $257.98 / $325.42	Facility		$214.77	$257.98	$325.42
United Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $16.05 / $16.05	Facility		$16.05	$16.05	$16.05
United Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $13.02 / $24.92	Professional		$9.44	$13.02	$24.92