Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $43.65 / $229.09	Facility		$12.30	$43.65	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.75 / $34.67	Professional		$8.91	$11.75	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.91 / $18.20	Professional		$6.46	$8.91	$18.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $16.60 / $22.39	Facility		$8.32	$16.60	$22.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $10.00 / $26.30	Professional		$6.31	$10.00	$26.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $10.23 / $18.62	Facility		$8.32	$10.23	$18.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $12.88	Professional		$8.32	$8.32	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $25.70 / $39.81	Facility		$12.88	$25.70	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $15.85 / $19.50	Professional		$7.94	$15.85	$19.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $46.77	Professional		$14.13	$18.20	$46.77
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $245.47	Facility		$208.93	$208.93	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $11.48 / $15.49	Facility		$7.59	$11.48	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $8.71 / $23.44	Professional		$5.37	$8.71	$23.44