Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.19 / $23.95 / $73.63	Facility		$12.19	$23.95	$73.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $11.73 / $21.45	Professional		$8.72	$11.73	$21.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $7.87 / $7.87	Professional		$7.87	$7.87	$7.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.47 / $16.77 / $45.40	Facility		$9.47	$16.77	$45.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $6.48 / $26.29	Professional		$4.86	$6.48	$26.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.52 / $13.12 / $20.99	Facility		$8.52	$13.12	$20.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $8.52 / $13.12	Professional		$8.52	$8.52	$13.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.22 / $28.86 / $40.85	Facility		$13.22	$28.86	$40.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $16.11 / $20.14	Professional		$8.10	$16.11	$20.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $17.05 / $47.13	Professional		$14.34	$17.05	$47.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $438.06 / $438.06 / $438.06	Facility		$438.06	$438.06	$438.06
United Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $9.58 / $23.84	Professional		$5.51	$9.58	$23.84