Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $45.71 / $194.98	Facility		$12.88	$45.71	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.88 / $27.54	Professional		$9.33	$12.88	$27.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.00 / $10.00	Professional		$8.71	$10.00	$10.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $18.20 / $25.12	Facility		$9.33	$18.20	$25.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.47 / $24.55	Professional		$7.08	$10.47	$24.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $11.48 / $20.89	Facility		$9.33	$11.48	$20.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $14.45	Professional		$9.33	$9.33	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $28.18 / $43.65	Facility		$14.13	$28.18	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $17.38 / $21.88	Professional		$8.91	$17.38	$21.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.42 / $41.69	Professional		$15.85	$20.42	$41.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,309.57 / $6,309.57	Facility		$1,737.80	$6,309.57	$6,309.57
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $12.88 / $17.38	Facility		$8.51	$12.88	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.71 / $25.12	Professional		$6.03	$8.71	$25.12