Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.67 / $45.72 / $210.00	Facility		$14.67	$45.72	$210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $13.76 / $21.92	Professional		$11.32	$13.76	$21.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $9.17 / $9.17	Professional		$9.17	$9.17	$9.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.03 / $19.53 / $52.90	Facility		$11.03	$19.53	$52.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $7.55 / $30.65	Professional		$5.66	$7.55	$30.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $15.29 / $24.46	Facility		$9.94	$15.29	$24.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $9.94 / $15.29	Professional		$9.94	$9.94	$15.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.16 / $33.64 / $47.39	Facility		$15.16	$33.64	$47.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $18.59 / $23.24	Professional		$9.47	$18.59	$23.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $19.88 / $54.98	Professional		$16.71	$19.88	$54.98
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $181.98 / $218.59 / $939.43	Facility		$181.98	$218.59	$939.43
United Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $12.52 / $32.11	Professional		$6.42	$12.52	$32.11