Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.67 / $37.10 / $203.67	Facility		$7.67	$37.10	$203.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $9.97 / $13.03	Professional		$9.11	$9.97	$13.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $7.23 / $7.23	Professional		$7.23	$7.23	$7.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.85 / $12.74 / $41.69	Facility		$7.85	$12.74	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $4.61 / $16.03	Professional		$3.45	$4.61	$16.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.83 / $12.05 / $19.28	Facility		$7.83	$12.05	$19.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $7.83 / $12.05	Professional		$7.83	$7.83	$12.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.93 / $26.51 / $37.63	Facility		$11.93	$26.51	$37.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $14.87 / $18.59	Professional		$13.63	$14.87	$18.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.86 / $18.14 / $46.00	Professional		$13.86	$18.14	$46.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $206.40 / $206.40 / $206.40	Facility		$206.40	$206.40	$206.40
United Facility/Professional Facility Modifier Low / Median / High Price $6.63 / $6.63 / $15.06	Facility		$6.63	$6.63	$15.06
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $6.92 / $12.60	Professional		$5.05	$6.92	$12.60