Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.44 / $48.70 / $347.90	Facility		$21.44	$48.70	$347.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $19.47 / $30.67	Professional		$17.29	$19.47	$30.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $13.40 / $13.40	Professional		$13.40	$13.40	$13.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.55 / $27.16 / $53.35	Facility		$14.55	$27.16	$53.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $11.04 / $48.56	Professional		$8.27	$11.04	$48.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $22.34 / $35.74	Facility		$14.52	$22.34	$35.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $14.52 / $22.34	Professional		$14.52	$14.52	$22.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.25 / $49.15 / $68.95	Facility		$22.25	$49.15	$68.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $25.61 / $57.27	Professional		$18.48	$25.61	$57.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.41 / $29.04 / $80.26	Professional		$24.41	$29.04	$80.26
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $174.77 / $209.94 / $247.38	Facility		$174.77	$209.94	$247.38
United Facility/Professional Facility Modifier Low / Median / High Price $20.11 / $20.11 / $20.11	Facility		$20.11	$20.11	$20.11
United Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $18.39 / $46.01	Professional		$12.29	$18.39	$46.01