Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $70.79 / $128.82	Facility		$16.98	$70.79	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.95 / $28.84	Professional		$12.88	$19.95	$28.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.85 / $17.78	Professional		$15.14	$15.85	$17.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $28.18 / $35.48	Facility		$16.60	$28.18	$35.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $25.70 / $25.70	Professional		$10.23	$25.70	$25.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $25.70 / $37.15	Facility		$16.60	$25.70	$37.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $25.70	Professional		$16.60	$16.60	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $51.29 / $77.62	Facility		$25.70	$51.29	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $30.90 / $38.90	Professional		$11.75	$30.90	$38.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.02 / $147.91	Professional		$28.18	$38.02	$147.91
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $380.19	Facility		$323.59	$323.59	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $22.91 / $25.70	Facility		$14.13	$22.91	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.14 / $37.15	Professional		$10.72	$15.14	$37.15