Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.27 / $73.84 / $234.72	Facility		$14.27	$73.84	$234.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $12.45 / $20.41	Professional		$9.49	$12.45	$20.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.14 / $8.56 / $9.71	Professional		$7.14	$8.56	$9.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.57 / $18.23 / $49.37	Facility		$10.57	$18.23	$49.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $10.57 / $28.61	Professional		$5.28	$10.57	$28.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $14.27 / $22.83	Facility		$9.27	$14.27	$22.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $9.27 / $14.27	Professional		$9.27	$9.27	$14.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.19 / $31.39 / $44.94	Facility		$14.19	$31.39	$44.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $17.35 / $21.69	Professional		$10.06	$17.35	$21.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $18.55 / $51.27	Professional		$15.59	$18.55	$51.27
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $382.61 / $459.59 / $563.04	Facility		$382.61	$459.59	$563.04
United Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $11.68 / $19.94	Professional		$6.42	$11.68	$19.94