Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.27 / $65.95 / $212.80	Facility		$11.27	$65.95	$212.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.86 / $11.82	Professional		$6.31	$7.86	$11.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $5.41 / $6.14	Professional		$5.41	$5.41	$6.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.51 / $11.52 / $31.21	Facility		$6.51	$11.52	$31.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $5.11 / $18.07	Professional		$3.33	$5.11	$18.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.86 / $9.02 / $14.43	Facility		$5.86	$9.02	$14.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $5.86 / $9.02	Professional		$5.86	$5.86	$9.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $19.84 / $28.21	Facility		$9.02	$19.84	$28.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $11.15 / $13.94	Professional		$5.50	$11.15	$13.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $11.73 / $32.40	Professional		$9.86	$11.73	$32.40
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $144.60 / $173.71 / $199.47	Facility		$144.60	$173.71	$199.47
United Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $6.59 / $19.10	Professional		$5.29	$6.59	$19.10