Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.02 / $29.71 / $214.56	Facility		$10.02	$29.71	$214.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $13.05 / $21.87	Professional		$10.02	$13.05	$21.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $9.05 / $9.05	Professional		$9.05	$9.05	$9.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.89 / $19.27 / $52.18	Facility		$10.89	$19.27	$52.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $7.44 / $30.20	Professional		$5.58	$7.44	$30.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.10 / $15.08 / $24.13	Facility		$12.10	$15.08	$24.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.16 / $33.18 / $47.39	Facility		$15.16	$33.18	$47.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $18.59 / $23.24	Professional		$9.32	$18.59	$23.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $19.60 / $54.16	Professional		$16.48	$19.60	$54.16
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $60.17 / $72.28 / $74.31	Facility		$60.17	$72.28	$74.31
United Facility/Professional Facility Modifier Low / Median / High Price $13.57 / $13.57 / $18.64	Facility		$13.57	$13.57	$18.64
United Facility/Professional Professional Modifier Low / Median / High Price $7.14 / $11.01 / $27.40	Professional		$7.14	$11.01	$27.40