Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $50.91 / $217.00	Facility		$17.66	$50.91	$217.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $13.97 / $21.14	Professional		$10.68	$13.97	$21.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $9.64	Professional		$9.64	$9.64	$9.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $20.51 / $55.57	Facility		$11.59	$20.51	$55.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.94 / $7.93 / $32.19	Professional		$5.94	$7.93	$32.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.44 / $16.05 / $25.70	Facility		$10.44	$16.05	$25.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $10.44 / $16.05	Professional		$10.44	$10.44	$16.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.12 / $35.33 / $49.84	Facility		$16.12	$35.33	$49.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $19.41 / $24.26	Professional		$9.93	$19.41	$24.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $20.88 / $57.71	Professional		$17.55	$20.88	$57.71
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $204.11 / $245.20 / $368.09	Facility		$204.11	$245.20	$368.09
United Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $11.73 / $29.34	Professional		$6.75	$11.73	$29.34