Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $77.61 / $243.00	Facility		$18.00	$77.61	$243.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $14.39 / $29.20	Professional		$9.91	$14.39	$29.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $10.08 / $11.44	Professional		$8.40	$10.08	$11.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.45 / $21.47 / $58.13	Facility		$12.45	$21.47	$58.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $12.45 / $33.65	Professional		$6.22	$12.45	$33.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.92 / $16.80 / $26.88	Facility		$10.92	$16.80	$26.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $10.92 / $16.80	Professional		$10.92	$10.92	$16.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.98 / $36.96 / $52.29	Facility		$14.98	$36.96	$52.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $19.41 / $25.81	Professional		$8.42	$19.41	$25.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.36 / $21.84 / $60.36	Professional		$18.36	$21.84	$60.36
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $85.96 / $103.27 / $172.29	Facility		$85.96	$103.27	$172.29
United Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Facility		$60.00	$60.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $12.27 / $30.53	Professional		$9.00	$12.27	$30.53