Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $45.80 / $114.56	Facility		$17.98	$45.80	$114.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $16.05 / $20.68	Professional		$11.96	$16.05	$20.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $10.79 / $10.79	Professional		$10.79	$10.79	$10.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.98 / $22.98 / $62.21	Facility		$12.98	$22.98	$62.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.66 / $8.88 / $35.15	Professional		$6.66	$8.88	$35.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.69 / $17.98 / $28.77	Facility		$11.69	$17.98	$28.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $11.69 / $17.98	Professional		$11.69	$11.69	$17.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $39.56 / $56.37	Facility		$18.05	$39.56	$56.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $21.89 / $27.36	Professional		$11.69	$21.89	$27.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $23.37 / $47.72	Professional		$19.64	$23.37	$47.72
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $228.79 / $274.80 / $480.57	Facility		$228.79	$274.80	$480.57
United Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $13.12 / $25.11	Professional		$9.89	$13.12	$25.11