Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.21 / $57.96 / $236.25	Facility		$15.21	$57.96	$236.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $12.05 / $23.76	Professional		$9.19	$12.05	$23.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $8.30 / $8.30	Professional		$8.30	$8.30	$8.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.99 / $17.68 / $47.89	Facility		$9.99	$17.68	$47.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.12 / $6.83 / $27.71	Professional		$5.12	$6.83	$27.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $13.84 / $22.14	Facility		$9.00	$13.84	$22.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $9.00 / $13.84	Professional		$9.00	$9.00	$13.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.87 / $30.45 / $43.30	Facility		$13.87	$30.45	$43.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $16.93 / $21.16	Professional		$8.55	$16.93	$21.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.12 / $17.98 / $49.68	Professional		$15.12	$17.98	$49.68
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $786.16 / $791.76 / $837.17	Facility		$786.16	$791.76	$837.17
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $11.39 / $25.15	Professional		$8.11	$11.39	$25.15