Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.55 / $84.00 / $265.89	Facility		$13.55	$84.00	$265.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.01 / $13.45 / $26.70	Professional		$10.01	$13.45	$26.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $9.02 / $10.03	Professional		$4.37	$9.02	$10.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.75 / $16.63 / $52.07	Facility		$8.75	$16.63	$52.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $7.44 / $20.77	Professional		$5.58	$7.44	$20.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.26 / $15.05 / $24.08	Facility		$9.26	$15.05	$24.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $15.05	Professional		$9.77	$9.77	$15.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.16 / $33.11 / $47.39	Facility		$15.16	$33.11	$47.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $11.76 / $19.98	Professional		$9.32	$11.76	$19.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $21.37 / $43.52	Professional		$16.45	$21.37	$43.52
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $503.75 / $1,261.90 / $1,274.00	Facility		$503.75	$1,261.90	$1,274.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $9.36 / $23.61	Professional		$8.75	$9.36	$23.61