Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.89 / $37.04 / $115.92	Facility		$11.89	$37.04	$115.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $11.07 / $15.29	Professional		$9.15	$11.07	$15.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $7.43 / $8.43	Professional		$7.43	$7.43	$8.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.94 / $15.83 / $42.87	Facility		$8.94	$15.83	$42.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $6.12 / $24.82	Professional		$4.59	$6.12	$24.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.05 / $12.39 / $19.82	Facility		$8.05	$12.39	$19.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $8.05 / $12.39	Professional		$8.05	$8.05	$12.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.25 / $27.26 / $38.68	Facility		$12.25	$27.26	$38.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $15.28 / $19.10	Professional		$7.64	$15.28	$19.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $16.11 / $44.51	Professional		$13.54	$16.11	$44.51
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $199.38 / $239.50 / $356.30	Facility		$199.38	$239.50	$356.30
United Facility/Professional Professional Modifier Low / Median / High Price $7.27 / $9.69 / $17.30	Professional		$7.27	$9.69	$17.30