Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.75 / $41.43 / $227.76	Facility		$21.75	$41.43	$227.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.26 / $20.45 / $40.90	Professional		$15.26	$20.45	$40.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $13.76 / $13.76	Professional		$13.76	$13.76	$13.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $29.31 / $79.37	Facility		$16.55	$29.31	$79.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $11.33 / $45.99	Professional		$8.49	$11.33	$45.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $22.94 / $36.70	Facility		$15.65	$22.94	$36.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.90 / $50.47 / $71.05	Facility		$22.90	$50.47	$71.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $28.08 / $35.10	Professional		$14.21	$28.08	$35.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $29.82 / $82.45	Professional		$25.07	$29.82	$82.45
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $238.35 / $286.30 / $350.01	Facility		$238.35	$286.30	$350.01
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.65 / $32.06	Professional		$10.00	$15.65	$32.06