Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $37.15 / $169.82	Facility		$11.22	$37.15	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.47 / $25.12	Professional		$7.08	$10.47	$25.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.13 / $8.91	Professional		$6.17	$8.13	$8.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $15.14 / $20.42	Facility		$7.59	$15.14	$20.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $9.12 / $23.99	Professional		$5.75	$9.12	$23.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $9.33 / $16.98	Facility		$7.59	$9.33	$16.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $11.75	Professional		$7.59	$7.59	$11.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $23.44 / $36.31	Facility		$11.48	$23.44	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $14.45 / $18.20	Professional		$7.41	$14.45	$18.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.60 / $42.66	Professional		$12.88	$16.60	$42.66
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $239.88	Facility		$204.17	$204.17	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $10.47 / $14.13	Facility		$6.92	$10.47	$14.13
United Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $8.32 / $21.38	Professional		$4.90	$8.32	$21.38