Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $33.88 / $213.80	Facility		$16.22	$33.88	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.85 / $38.90	Professional		$10.96	$15.85	$38.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.30 / $25.70	Professional		$10.72	$12.30	$25.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $22.91 / $30.90	Facility		$11.75	$22.91	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.80 / $36.31	Professional		$8.91	$13.80	$36.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Facility		$12.30	$12.30	$12.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $17.78	Professional		$11.75	$11.75	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $35.48 / $54.95	Facility		$17.78	$35.48	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $21.88 / $27.54	Professional		$10.96	$21.88	$27.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.70 / $64.57	Professional		$19.50	$25.70	$64.57
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $645.65	Facility		$549.54	$549.54	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $16.22 / $21.88	Facility		$10.47	$16.22	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $12.30 / $32.36	Professional		$7.59	$12.30	$32.36