Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $32.09 / $169.52	Facility		$12.28	$32.09	$169.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $11.56 / $18.51	Professional		$8.61	$11.56	$18.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $7.77 / $8.81	Professional		$7.77	$7.77	$8.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $16.55 / $44.81	Facility		$9.35	$16.55	$44.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.39 / $25.41	Professional		$4.79	$6.39	$25.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.42 / $12.95 / $20.72	Facility		$8.42	$12.95	$20.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $8.42 / $12.95	Professional		$8.42	$8.42	$12.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.54 / $28.49 / $40.03	Facility		$11.54	$28.49	$40.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $15.69 / $19.61	Professional		$7.94	$15.69	$19.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.15 / $16.84 / $46.51	Professional		$14.15	$16.84	$46.51
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $352.52 / $423.47 / $504.48	Facility		$352.52	$423.47	$504.48
United Facility/Professional Professional Modifier Low / Median / High Price $7.12 / $9.46 / $18.09	Professional		$7.12	$9.46	$18.09