Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.75 / $70.20 / $178.20	Facility		$12.75	$70.20	$178.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $11.49 / $15.31	Professional		$8.49	$11.49	$15.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $7.66 / $8.69	Professional		$7.66	$7.66	$8.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.21 / $16.30 / $44.15	Facility		$9.21	$16.30	$44.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $6.30 / $25.59	Professional		$4.72	$6.30	$25.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.28 / $12.76 / $20.42	Facility		$8.28	$12.76	$20.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $8.28 / $12.76	Professional		$8.28	$8.28	$12.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $28.07 / $40.03	Facility		$12.58	$28.07	$40.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $15.69 / $19.61	Professional		$7.94	$15.69	$19.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $16.59 / $45.88	Professional		$13.94	$16.59	$45.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $709.38 / $852.12 / $1,056.22	Facility		$709.38	$852.12	$1,056.22
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Facility		$11.48	$11.48	$11.48
United Facility/Professional Professional Modifier Low / Median / High Price $5.36 / $8.71 / $23.19	Professional		$5.36	$8.71	$23.19