Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.26 / $33.40 / $186.48	Facility		$15.26	$33.40	$186.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $14.21 / $20.92	Professional		$10.34	$14.21	$20.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $10.83	Professional		$9.55	$9.55	$10.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $20.32 / $55.05	Facility		$11.48	$20.32	$55.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.86 / $31.87	Professional		$5.89	$7.86	$31.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.34 / $15.91 / $25.46	Facility		$10.34	$15.91	$25.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $10.34 / $15.91	Professional		$10.34	$10.34	$15.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $35.00 / $49.84	Facility		$15.80	$35.00	$49.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $19.41 / $24.26	Professional		$9.77	$19.41	$24.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $20.68 / $57.14	Professional		$17.39	$20.68	$57.14
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $738.01 / $799.31 / $922.46	Facility		$738.01	$799.31	$922.46
United Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $13.02 / $32.77	Professional		$7.91	$13.02	$32.77