Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $60.27 / $217.00	Facility		$15.36	$60.27	$217.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.14 / $11.99 / $22.46	Professional		$9.14	$11.99	$22.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $8.24 / $9.16	Professional		$8.24	$8.24	$9.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.92 / $17.55 / $47.54	Facility		$9.92	$17.55	$47.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $6.79 / $27.54	Professional		$5.09	$6.79	$27.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.93 / $13.74 / $21.98	Facility		$8.93	$13.74	$21.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $8.93 / $13.74	Professional		$8.93	$8.93	$13.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $30.23 / $43.30	Facility		$13.54	$30.23	$43.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $16.93 / $21.16	Professional		$8.40	$16.93	$21.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.01 / $17.86 / $49.38	Professional		$15.01	$17.86	$49.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $406.17 / $487.89 / $595.76	Facility		$406.17	$487.89	$595.76
United Facility/Professional Professional Modifier Low / Median / High Price $6.18 / $10.02 / $24.97	Professional		$6.18	$10.02	$24.97