Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $41.69 / $158.49	Facility		$19.05	$41.69	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.50 / $42.66	Professional		$15.14	$19.50	$42.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $13.18 / $21.88	Professional		$9.33	$13.18	$21.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $27.54 / $37.15	Facility		$14.13	$27.54	$37.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $16.60 / $44.67	Professional		$10.72	$16.60	$44.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.79 / $31.62	Facility		$14.13	$14.79	$31.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $21.88	Professional		$14.13	$14.13	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $43.65 / $66.07	Facility		$21.38	$43.65	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $26.30 / $33.11	Professional		$13.49	$26.30	$33.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.90 / $77.62	Professional		$23.99	$30.90	$77.62
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $87.10	Facility		$74.13	$74.13	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $19.50 / $26.30	Facility		$12.88	$19.50	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $14.45 / $39.81	Professional		$9.12	$14.45	$39.81