Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.64 / $45.62 / $199.54	Facility		$13.64	$45.62	$199.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $12.85 / $25.70	Professional		$9.80	$12.85	$25.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $8.63 / $8.63	Professional		$8.63	$8.63	$8.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $16.98 / $49.79	Facility		$10.39	$16.98	$49.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $7.11 / $24.52	Professional		$5.33	$7.11	$24.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $14.39 / $23.02	Facility		$9.35	$14.39	$23.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $9.35 / $14.39	Professional		$9.35	$9.35	$14.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.19 / $31.66 / $44.94	Facility		$14.19	$31.66	$44.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $17.35 / $21.69	Professional		$8.86	$17.35	$21.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.72 / $18.71 / $41.81	Professional		$15.72	$18.71	$41.81
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $913.13 / $1,750.00 / $2,357.48	Facility		$913.13	$1,750.00	$2,357.48
United Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $8.63 / $24.64	Professional		$6.04	$8.63	$24.64