Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $42.66 / $407.38	Facility		$12.30	$42.66	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $16.98 / $52.48	Professional		$7.94	$16.98	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.24 / $17.38	Professional		$4.79	$7.24	$17.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $15.49 / $20.89	Facility		$7.76	$15.49	$20.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $9.12 / $24.55	Professional		$5.89	$9.12	$24.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $9.55 / $17.38	Facility		$7.76	$9.55	$17.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $12.02	Professional		$7.76	$7.76	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $23.44 / $37.15	Facility		$12.02	$23.44	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $14.45 / $18.20	Professional		$7.41	$14.45	$18.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.98 / $42.66	Professional		$13.18	$16.98	$42.66
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $95.50 / $114.82	Facility		$93.33	$95.50	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $10.72 / $14.45	Facility		$7.08	$10.72	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $8.13 / $21.88	Professional		$5.01	$8.13	$21.88