Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.20 / $47.29 / $170.80	Facility		$22.20	$47.29	$170.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.84 / $18.14 / $31.21	Professional		$13.84	$18.14	$31.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $12.49	Professional		$12.49	$12.49	$12.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.02 / $26.59 / $72.00	Facility		$15.02	$26.59	$72.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.71 / $10.28 / $40.83	Professional		$7.71	$10.28	$40.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.53 / $20.81 / $33.29	Facility		$13.53	$20.81	$33.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $13.53 / $20.81	Professional		$13.53	$13.53	$20.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.64 / $45.78 / $63.74	Facility		$20.64	$45.78	$63.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $25.19 / $31.49	Professional		$13.53	$25.19	$31.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.74 / $27.05 / $74.75	Professional		$22.74	$27.05	$74.75
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $111.27 / $133.66 / $157.47	Facility		$111.27	$133.66	$157.47
United Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $15.19 / $29.07	Professional		$11.45	$15.19	$29.07