Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.10 / $37.46 / $217.00	Facility		$18.10	$37.46	$217.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.84 / $18.86 / $37.76	Professional		$13.84	$18.86	$37.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $12.49 / $13.88	Professional		$10.82	$12.49	$13.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.02 / $24.13 / $72.00	Facility		$15.02	$24.13	$72.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.71 / $10.28 / $33.49	Professional		$7.71	$10.28	$33.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.53 / $20.81 / $33.29	Facility		$13.53	$20.81	$33.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $13.53 / $20.81	Professional		$13.53	$13.53	$20.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.64 / $45.78 / $63.74	Facility		$20.64	$45.78	$63.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.83 / $25.19 / $31.49	Professional		$12.83	$25.19	$31.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.74 / $27.05 / $57.09	Professional		$22.74	$27.05	$57.09
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $327.76 / $393.71 / $482.15	Facility		$327.76	$393.71	$482.15
United Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $13.09 / $33.64	Professional		$9.36	$13.09	$33.64