Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.94 / $28.63 / $167.30	Facility		$14.94	$28.63	$167.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $13.74 / $19.46	Professional		$10.48	$13.74	$19.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $9.46 / $10.73	Professional		$9.46	$9.46	$10.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.38 / $20.14 / $54.53	Facility		$11.38	$20.14	$54.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $7.78 / $31.58	Professional		$5.83	$7.78	$31.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.24 / $15.76 / $25.22	Facility		$10.24	$15.76	$25.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $10.24 / $15.76	Professional		$10.24	$10.24	$15.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $34.67 / $49.11	Facility		$15.80	$34.67	$49.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $19.41 / $24.26	Professional		$9.77	$19.41	$24.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.22 / $20.49 / $56.62	Professional		$17.22	$20.49	$56.62
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,017.10 / $1,017.10 / $1,017.10	Facility		$1,017.10	$1,017.10	$1,017.10
United Facility/Professional Professional Modifier Low / Median / High Price $6.62 / $11.51 / $22.02	Professional		$6.62	$11.51	$22.02