Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $46.77 / $239.88	Facility		$12.59	$46.77	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $28.84	Professional		$8.91	$12.02	$28.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $9.55 / $9.55	Professional		$8.32	$9.55	$9.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $17.78 / $23.99	Facility		$8.91	$17.78	$23.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $10.72 / $28.18	Professional		$6.76	$10.72	$28.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $9.33 / $19.95	Facility		$8.91	$9.33	$19.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $13.80	Professional		$8.91	$8.91	$13.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $27.54 / $42.66	Facility		$13.80	$27.54	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $16.98 / $21.38	Professional		$8.51	$16.98	$21.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.50 / $50.12	Professional		$15.14	$19.50	$50.12
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $660.69	Facility		$489.78	$489.78	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $12.59 / $16.60	Facility		$8.13	$12.59	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $9.77 / $25.12	Professional		$5.75	$9.77	$25.12