Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.68 / $49.10 / $118.56	Facility		$14.68	$49.10	$118.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $25.96 / $28.10	Professional		$11.98	$25.96	$28.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $9.30 / $9.30	Professional		$9.30	$9.30	$9.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.18 / $19.79 / $53.60	Facility		$11.18	$19.79	$53.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $7.65 / $31.03	Professional		$5.73	$7.65	$31.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.07 / $15.49 / $24.78	Facility		$10.07	$15.49	$24.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $10.07 / $15.49	Professional		$10.07	$10.07	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.48 / $34.08 / $48.20	Facility		$15.48	$34.08	$48.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $19.00 / $23.75	Professional		$9.61	$19.00	$23.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $20.14 / $55.65	Professional		$16.93	$20.14	$55.65
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $615.04 / $615.04 / $615.04	Facility		$615.04	$615.04	$615.04
United Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $12.75 / $32.53	Professional		$8.52	$12.75	$32.53