Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.85 / $48.56 / $250.26	Facility		$16.85	$48.56	$250.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $13.89 / $27.78	Professional		$11.86	$13.89	$27.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $9.19 / $9.19	Professional		$9.19	$9.19	$9.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.06 / $19.57 / $53.01	Facility		$11.06	$19.57	$53.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $7.57 / $30.71	Professional		$5.67	$7.57	$30.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.96 / $15.32 / $24.51	Facility		$9.96	$15.32	$24.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.96 / $9.96 / $15.32	Professional		$9.96	$9.96	$15.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.16 / $33.70 / $48.20	Facility		$15.16	$33.70	$48.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $18.59 / $23.24	Professional		$9.47	$18.59	$23.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $19.92 / $55.06	Professional		$16.73	$19.92	$55.06
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $182.64 / $254.48 / $349.12	Facility		$182.64	$254.48	$349.12
United Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $12.55 / $32.38	Professional		$8.99	$12.55	$32.38