Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.83 / $112.00 / $586.38	Facility		$11.83	$112.00	$586.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $8.52 / $13.81	Professional		$7.39	$8.52	$13.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.74 / $4.74 / $5.68	Professional		$4.74	$4.74	$5.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.83 / $12.10 / $32.77	Facility		$6.83	$12.10	$32.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.51 / $4.68 / $18.97	Professional		$3.51	$4.68	$18.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.16 / $9.47 / $15.15	Facility		$6.16	$9.47	$15.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.16 / $6.16 / $9.47	Professional		$6.16	$6.16	$9.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $20.83 / $29.41	Facility		$9.35	$20.83	$29.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.16 / $11.56 / $14.45	Professional		$6.16	$11.56	$14.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $12.31 / $34.00	Professional		$10.35	$12.31	$34.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $750.17 / $1,276.90 / $2,625.00	Facility		$750.17	$1,276.90	$2,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.55 / $7.79 / $17.21	Professional		$5.55	$7.79	$17.21