Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $57.21 / $289.10	Facility		$19.98	$57.21	$289.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $18.73 / $32.72	Professional		$15.61	$18.73	$32.72
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 $12.83 / $25.19 / $31.49	Professional		$12.83	$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 $252.21 / $1,175.00 / $1,175.00	Facility		$252.21	$1,175.00	$1,175.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $15.19 / $29.07	Professional		$12.21	$15.19	$29.07