Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $85.11 / $691.83	Facility		$22.91	$85.11	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $45.71 / $87.10	Professional		$15.85	$45.71	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $17.78 / $36.31	Professional		$15.14	$17.78	$36.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $32.36 / $43.65	Facility		$16.60	$32.36	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.78 / $50.12	Professional		$12.59	$17.78	$50.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.98 / $37.15	Facility		$16.60	$16.98	$37.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $25.70	Professional		$16.60	$16.60	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $51.29 / $77.62	Facility		$25.70	$51.29	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $30.90 / $38.90	Professional		$15.85	$30.90	$38.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $36.31 / $91.20	Professional		$27.54	$36.31	$91.20
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $870.96	Facility		$616.60	$616.60	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $22.91 / $30.20	Facility		$14.79	$22.91	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $17.38 / $46.77	Professional		$10.72	$17.38	$46.77