Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $50.12 / $109.65	Facility		$17.38	$50.12	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.22 / $26.30	Professional		$11.75	$16.22	$26.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.59 / $12.59	Professional		$10.72	$12.59	$12.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $22.91 / $30.90	Facility		$11.75	$22.91	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $32.36	Professional		$8.91	$10.96	$32.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $13.80 / $26.30	Facility		$11.75	$13.80	$26.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $17.78	Professional		$11.75	$11.75	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $35.48 / $54.95	Facility		$18.20	$35.48	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $20.42 / $27.54	Professional		$11.22	$20.42	$27.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.70 / $47.86	Professional		$19.50	$25.70	$47.86
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $616.60 / $616.60	Facility		$478.63	$616.60	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $16.22 / $21.38	Facility		$10.47	$16.22	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $12.30 / $33.11	Professional		$7.59	$12.30	$33.11