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 $14.13 / $19.05 / $39.81	Professional		$14.13	$19.05	$39.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.79 / $14.79	Professional		$12.88	$14.79	$14.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $26.92 / $37.15	Facility		$13.80	$26.92	$37.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $16.22 / $43.65	Professional		$10.47	$16.22	$43.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $14.45 / $30.90	Facility		$13.80	$14.45	$30.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $21.38	Professional		$13.80	$13.80	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $42.66 / $64.57	Facility		$21.38	$42.66	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $26.30 / $32.36	Professional		$13.18	$26.30	$32.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.20 / $75.86	Professional		$23.44	$30.20	$75.86
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $199.53	Facility		$169.82	$169.82	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $19.05 / $25.70	Facility		$12.59	$19.05	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $14.13 / $38.90	Professional		$8.91	$14.13	$38.90