Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.07 / $54.21 / $197.60	Facility		$11.07	$54.21	$197.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $10.13 / $20.62	Professional		$9.11	$10.13	$20.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $6.92	Professional		$6.92	$6.92	$6.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.65 / $12.57 / $39.89	Facility		$7.65	$12.57	$39.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $4.61 / $15.33	Professional		$3.45	$4.61	$15.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.49 / $11.53 / $18.45	Facility		$7.49	$11.53	$18.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $7.49 / $11.53	Professional		$7.49	$7.49	$11.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.61 / $25.37 / $35.53	Facility		$11.61	$25.37	$35.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $14.04 / $17.55	Professional		$13.22	$14.04	$17.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $17.37 / $46.00	Professional		$13.26	$17.37	$46.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $279.60 / $335.84 / $408.07	Facility		$279.60	$335.84	$408.07
United Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $6.92 / $12.60	Professional		$4.84	$6.92	$12.60