Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.41 / $103.60 / $852.48	Facility		$22.41	$103.60	$852.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.53 / $65.04 / $146.34	Professional		$15.53	$65.04	$146.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $10.76 / $11.96	Professional		$10.76	$10.76	$11.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.94 / $22.90 / $62.04	Facility		$12.94	$22.90	$62.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.64 / $8.86 / $35.93	Professional		$6.64	$8.86	$35.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.65 / $17.93 / $28.69	Facility		$11.65	$17.93	$28.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $11.65 / $17.93	Professional		$11.65	$11.65	$17.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $39.45 / $56.37	Facility		$17.73	$39.45	$56.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $21.89 / $27.36	Professional		$11.00	$21.89	$27.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $23.31 / $64.44	Professional		$19.59	$23.31	$64.44
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $439.54 / $447.57 / $477.35	Facility		$439.54	$447.57	$477.35
United Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $13.09 / $32.58	Professional		$9.86	$13.09	$32.58