Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.02 / $57.80 / $165.83	Facility		$14.02	$57.80	$165.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $12.67 / $18.57	Professional		$9.74	$12.67	$18.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $8.68	Professional		$8.51	$8.51	$8.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $17.53 / $49.06	Facility		$10.23	$17.53	$49.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.00 / $26.43	Professional		$5.25	$7.00	$26.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.22 / $14.18 / $22.69	Facility		$9.22	$14.18	$22.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $9.22 / $14.18	Professional		$9.22	$9.22	$14.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.19 / $31.20 / $44.12	Facility		$14.19	$31.20	$44.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $17.35 / $21.69	Professional		$8.71	$17.35	$21.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $18.43 / $45.80	Professional		$15.49	$18.43	$45.80
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $810.20 / $973.22 / $1,208.98	Facility		$810.20	$973.22	$1,208.98
United Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $9.22 / $25.77	Professional		$6.30	$9.22	$25.77