Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $58.37 / $843.41	Facility		$13.26	$58.37	$843.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $10.74 / $41.89	Professional		$9.33	$10.74	$41.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $7.23 / $7.23	Professional		$7.23	$7.23	$7.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.69 / $15.39 / $41.69	Facility		$8.69	$15.39	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $5.95 / $23.58	Professional		$4.46	$5.95	$23.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.83 / $12.05 / $19.28	Facility		$7.83	$12.05	$19.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $7.83 / $12.05	Professional		$7.83	$7.83	$12.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.93 / $26.51 / $37.63	Facility		$11.93	$26.51	$37.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $21.06 / $43.33	Professional		$13.85	$21.06	$43.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.17 / $15.67 / $22.94	Professional		$13.17	$15.67	$22.94
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $280.12 / $336.48 / $404.73	Facility		$280.12	$336.48	$404.73
United Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $9.43 / $25.52	Professional		$6.30	$9.43	$25.52