Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $43.95 / $483.00	Facility		$16.55	$43.95	$483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.01 / $13.14 / $40.95	Professional		$10.01	$13.14	$40.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $9.02 / $9.02	Professional		$9.02	$9.02	$9.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.86 / $19.23 / $52.07	Facility		$10.86	$19.23	$52.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $7.44 / $30.16	Professional		$5.58	$7.44	$30.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.84 / $15.05 / $24.08	Facility		$11.84	$15.05	$24.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.16 / $33.11 / $47.39	Facility		$15.16	$33.11	$47.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $18.17 / $22.71	Professional		$9.32	$18.17	$22.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $19.57 / $54.08	Professional		$16.45	$19.57	$54.08
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $80.22 / $80.22 / $80.22	Facility		$80.22	$80.22	$80.22
United Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $10.99 / $27.35	Professional		$6.32	$10.99	$27.35