Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $89.16 / $491.40	Facility		$19.38	$89.16	$491.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $26.30 / $36.28	Professional		$14.51	$26.30	$36.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $10.89 / $10.89	Professional		$10.89	$10.89	$10.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.09 / $23.17 / $62.76	Facility		$13.09	$23.17	$62.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $8.96 / $36.35	Professional		$6.72	$8.96	$36.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.79 / $18.14 / $29.02	Facility		$11.79	$18.14	$29.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.79 / $11.79 / $18.14	Professional		$11.79	$11.79	$18.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $39.90 / $56.42	Facility		$18.05	$39.90	$56.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $22.30 / $27.88	Professional		$11.15	$22.30	$27.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $23.58 / $65.19	Professional		$19.82	$23.58	$65.19
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $239.25 / $287.39 / $344.91	Facility		$239.25	$287.39	$344.91
United Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $13.24 / $37.36	Professional		$7.62	$13.24	$37.36