Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.21 / $26.28 / $53.59	Facility		$11.21	$26.28	$53.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $15.50 / $37.02	Professional		$11.21	$15.50	$37.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $9.86 / $9.86	Professional		$9.86	$9.86	$9.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.89 / $19.88 / $58.30	Facility		$11.89	$19.88	$58.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.16 / $29.49	Professional		$5.37	$7.16	$29.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.95 / $16.85 / $26.96	Facility		$10.95	$16.85	$26.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $10.95 / $16.85	Professional		$10.95	$10.95	$16.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $37.07 / $52.26	Facility		$18.57	$37.07	$52.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $20.65 / $25.81	Professional		$9.01	$20.65	$25.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.41 / $21.91 / $52.16	Professional		$18.41	$21.91	$52.16
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $71.36 / $71.36 / $71.36	Facility		$71.36	$71.36	$71.36
United Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $15.17 / $18.25	Facility		$15.17	$15.17	$18.25
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.95 / $30.73	Professional		$7.08	$10.95	$30.73