Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $41.69 / $158.49	Facility		$14.45	$41.69	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.75 / $26.92	Professional		$8.91	$11.75	$26.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.71 / $13.18	Professional		$6.61	$8.71	$13.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $16.98 / $22.91	Facility		$8.51	$16.98	$22.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $10.00 / $26.92	Professional		$6.46	$10.00	$26.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $10.47 / $19.05	Facility		$8.51	$10.47	$19.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $13.18	Professional		$8.51	$8.51	$13.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $26.30 / $40.74	Facility		$13.18	$26.30	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $16.22 / $19.95	Professional		$8.13	$16.22	$19.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.62 / $47.86	Professional		$14.45	$18.62	$47.86
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $186.21	Facility		$131.83	$131.83	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $11.75 / $15.85	Facility		$7.76	$11.75	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $8.91 / $23.99	Professional		$5.50	$8.91	$23.99