Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.88 / $79.53 / $197.25	Facility		$16.88	$79.53	$197.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.01 / $14.78 / $33.88	Professional		$11.01	$14.78	$33.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $10.16 / $11.53	Professional		$10.16	$10.16	$11.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.23 / $21.65 / $58.61	Facility		$12.23	$21.65	$58.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.27 / $8.36 / $33.94	Professional		$6.27	$8.36	$33.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.01 / $16.94 / $27.10	Facility		$11.01	$16.94	$27.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.01 / $11.01 / $16.94	Professional		$11.01	$11.01	$16.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.77 / $37.27 / $53.11	Facility		$16.77	$37.27	$53.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $20.65 / $25.81	Professional		$10.39	$20.65	$25.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.51 / $22.02 / $60.87	Professional		$18.51	$22.02	$60.87
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $181.01 / $181.01 / $576.52	Facility		$181.01	$181.01	$576.52
United Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $12.37 / $30.95	Professional		$8.00	$12.37	$30.95