Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $39.81 / $213.80	Facility		$18.20	$39.81	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.05 / $38.02	Professional		$12.88	$19.05	$38.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.80 / $14.45	Professional		$10.96	$13.80	$14.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $25.12 / $36.31	Facility		$13.49	$25.12	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $15.14 / $34.67	Professional		$10.23	$15.14	$34.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $14.13 / $30.20	Facility		$13.49	$14.13	$30.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $20.89	Professional		$13.49	$13.49	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $41.69 / $63.10	Facility		$20.42	$41.69	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $25.12 / $31.62	Professional		$12.88	$25.12	$31.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $29.51 / $57.54	Professional		$22.91	$29.51	$57.54
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $398.11	Facility		$281.84	$281.84	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $18.62 / $25.12	Facility		$12.30	$18.62	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.59 / $33.88	Professional		$8.71	$12.59	$33.88