Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $48.98 / $398.11	Facility		$13.49	$48.98	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.49 / $309.03	Professional		$10.96	$13.49	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.55 / $11.22	Professional		$7.59	$9.55	$11.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $19.05 / $25.70	Facility		$9.77	$19.05	$25.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.96 / $25.12	Professional		$7.41	$10.96	$25.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $12.02 / $21.88	Facility		$9.77	$12.02	$21.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $15.14	Professional		$9.77	$9.77	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $29.51 / $45.71	Facility		$14.79	$29.51	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $18.20 / $22.91	Professional		$9.33	$18.20	$22.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $21.38 / $42.66	Professional		$16.22	$21.38	$42.66
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $467.74	Facility		$398.11	$398.11	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $13.49 / $17.78	Facility		$8.71	$13.49	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.91 / $25.70	Professional		$6.31	$8.91	$25.70