Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $75.86 / $263.03	Facility		$11.75	$75.86	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.49 / $42.66	Professional		$10.96	$13.49	$42.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $9.12 / $15.14	Professional		$5.89	$9.12	$15.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $17.78 / $26.30	Facility		$8.71	$17.78	$26.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $8.51 / $14.79	Professional		$7.41	$8.51	$14.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.77 / $21.88	Facility		$9.33	$9.77	$21.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $15.14	Professional		$9.77	$9.77	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $29.51 / $45.71	Facility		$15.14	$29.51	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $10.72 / $19.95	Professional		$9.33	$10.72	$19.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $21.38 / $28.84	Professional		$16.60	$21.38	$28.84
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,288.25 / $1,621.81	Facility		$977.24	$1,288.25	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $13.49 / $18.20	Facility		$8.91	$13.49	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $9.12 / $22.91	Professional		$8.71	$9.12	$22.91