Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.87 / $44.16 / $153.40	Facility		$16.87	$44.16	$153.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $11.88 / $23.00	Professional		$9.75	$11.88	$23.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $7.91 / $8.98	Professional		$7.91	$7.91	$8.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $16.85 / $45.64	Facility		$9.52	$16.85	$45.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $6.51 / $26.43	Professional		$4.88	$6.51	$26.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.57 / $13.19 / $21.10	Facility		$8.57	$13.19	$21.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $8.57 / $13.19	Professional		$8.57	$8.57	$13.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.22 / $29.02 / $40.85	Facility		$13.22	$29.02	$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 $14.41 / $17.14 / $47.40	Professional		$14.41	$17.14	$47.40
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $156.47 / $187.94 / $217.38	Facility		$156.47	$187.94	$217.38
United Facility/Professional Professional Modifier Low / Median / High Price $5.54 / $9.63 / $23.97	Professional		$5.54	$9.63	$23.97