Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.39 / $52.22 / $411.14	Facility		$14.39	$52.22	$411.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $20.94 / $41.88	Professional		$9.60	$20.94	$41.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $7.20 / $7.20	Professional		$7.20	$7.20	$7.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.66 / $15.33 / $41.52	Facility		$8.66	$15.33	$41.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.44 / $5.92 / $24.06	Professional		$4.44	$5.92	$24.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.80 / $12.00 / $19.20	Facility		$7.80	$12.00	$19.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $7.80 / $12.00	Professional		$7.80	$7.80	$12.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.93 / $26.40 / $37.58	Facility		$11.93	$26.40	$37.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.33 / $14.46 / $18.07	Professional		$7.33	$14.46	$18.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $15.60 / $43.15	Professional		$13.11	$15.60	$43.15
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $113.64 / $136.50 / $159.57	Facility		$113.64	$136.50	$159.57
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $9.40 / $21.92	Professional		$5.25	$9.40	$21.92