Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $71.97 / $259.44	Facility		$21.23	$71.97	$259.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $18.47 / $24.41	Professional		$14.12	$18.47	$24.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $12.74 / $12.74	Professional		$12.74	$12.74	$12.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $27.12 / $73.45	Facility		$15.32	$27.12	$73.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $10.48 / $42.56	Professional		$7.86	$10.48	$42.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $21.23 / $33.97	Facility		$13.80	$21.23	$33.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $21.23	Professional		$13.80	$13.80	$21.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.28 / $46.71 / $65.84	Facility		$21.28	$46.71	$65.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.14 / $26.02 / $32.53	Professional		$13.14	$26.02	$32.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $27.60 / $76.29	Professional		$23.20	$27.60	$76.29
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,092.48 / $1,225.07 / $1,459.52	Facility		$1,092.48	$1,225.07	$1,459.52
United Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $15.04 / $29.67	Professional		$12.46	$15.04	$29.67