Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $87.10 / $831.76	Facility		$17.38	$87.10	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $46.77 / $144.54	Professional		$14.13	$46.77	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $25.70	Professional		$7.94	$10.96	$25.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $22.91 / $30.90	Facility		$11.75	$22.91	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.80 / $36.31	Professional		$8.91	$13.80	$36.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $14.45 / $25.70	Facility		$11.75	$14.45	$25.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $17.78	Professional		$11.75	$11.75	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $35.48 / $54.95	Facility		$17.78	$35.48	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $21.88 / $27.54	Professional		$10.96	$21.88	$27.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.70 / $64.57	Professional		$19.50	$25.70	$64.57
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $309.03 / $363.08	Facility		$302.00	$309.03	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $16.22 / $22.39	Facility		$10.47	$16.22	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $12.02 / $33.11	Professional		$7.59	$12.02	$33.11