Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.01 / $39.02 / $208.60	Facility		$12.01	$39.02	$208.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $11.65 / $21.18	Professional		$8.68	$11.65	$21.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $7.83 / $7.83	Professional		$7.83	$7.83	$7.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.42 / $16.67 / $45.15	Facility		$9.42	$16.67	$45.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.83 / $6.44 / $26.14	Professional		$4.83	$6.44	$26.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.48 / $13.05 / $20.88	Facility		$8.48	$13.05	$20.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $8.48 / $13.05	Professional		$8.48	$8.48	$13.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.90 / $28.71 / $40.85	Facility		$12.90	$28.71	$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 $14.26 / $16.97 / $46.88	Professional		$14.26	$16.97	$46.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $614.65 / $738.34 / $931.38	Facility		$614.65	$738.34	$931.38
United Facility/Professional Professional Modifier Low / Median / High Price $5.48 / $9.52 / $23.71	Professional		$5.48	$9.52	$23.71