Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $28.84 / $165.96	Facility		$14.13	$28.84	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $22.39	Professional		$10.00	$14.13	$22.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $10.96 / $10.96	Professional		$9.55	$10.96	$10.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $19.95 / $27.54	Facility		$10.23	$19.95	$27.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $12.02 / $32.36	Professional		$7.76	$12.02	$32.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.72 / $22.91	Facility		$10.23	$10.72	$22.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $15.85	Professional		$10.23	$10.23	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $31.62 / $48.98	Facility		$15.85	$31.62	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $19.50 / $23.99	Professional		$9.77	$19.50	$23.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $22.39 / $56.23	Professional		$17.38	$22.39	$56.23
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $891.25	Facility		$724.44	$724.44	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $14.13 / $19.05	Facility		$9.33	$14.13	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $10.47 / $28.84	Professional		$6.61	$10.47	$28.84