Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $32.97 / $308.10	Facility		$16.89	$32.97	$308.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $16.00 / $34.07	Professional		$11.90	$16.00	$34.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $10.74 / $10.74	Professional		$10.74	$10.74	$10.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.92 / $22.87 / $61.93	Facility		$12.92	$22.87	$61.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $8.84 / $35.89	Professional		$6.63	$8.84	$35.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.64 / $17.89 / $28.64	Facility		$11.64	$17.89	$28.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $11.64 / $17.89	Professional		$11.64	$11.64	$17.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $39.38 / $55.56	Facility		$17.73	$39.38	$55.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $21.89 / $27.36	Professional		$11.00	$21.89	$27.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $23.27 / $64.34	Professional		$19.55	$23.27	$64.34
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $643.14 / $772.57 / $963.35	Facility		$643.14	$772.57	$963.35
United Facility/Professional Facility Modifier Low / Median / High Price $16.11 / $16.11 / $16.11	Facility		$16.11	$16.11	$16.11
United Facility/Professional Professional Modifier Low / Median / High Price $10.51 / $13.07 / $32.53	Professional		$10.51	$13.07	$32.53