Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $110.29 / $549.30	Facility		$17.80	$110.29	$549.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $8.94 / $17.82	Professional		$8.28	$8.94	$17.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $7.48 / $7.48	Professional		$7.48	$7.48	$7.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.27 / $13.72 / $37.99	Facility		$8.27	$13.72	$37.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $4.99 / $20.91	Professional		$3.74	$4.99	$20.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.11 / $12.47 / $19.95	Facility		$8.11	$12.47	$19.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $8.11 / $12.47	Professional		$8.11	$8.11	$12.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $27.43 / $38.68	Facility		$12.58	$27.43	$38.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $15.28 / $19.10	Professional		$6.11	$15.28	$19.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $16.21 / $35.36	Professional		$13.63	$16.21	$35.36
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,652.08 / $1,802.29 / $2,932.00	Facility		$1,652.08	$1,802.29	$2,932.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.61 / $7.70 / $20.84	Professional		$5.61	$7.70	$20.84