Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.67 / $47.20 / $140.00	Facility		$12.67	$47.20	$140.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.67 / $10.28 / $15.57	Professional		$7.67	$10.28	$15.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $6.92	Professional		$6.92	$6.92	$6.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $14.73 / $39.89	Facility		$8.32	$14.73	$39.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $5.69 / $23.08	Professional		$4.26	$5.69	$23.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.49 / $11.53 / $18.45	Facility		$7.49	$11.53	$18.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $7.49 / $11.53	Professional		$7.49	$7.49	$11.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.61 / $25.37 / $35.96	Facility		$11.61	$25.37	$35.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.18 / $14.04 / $17.55	Professional		$7.18	$14.04	$17.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $14.99 / $41.41	Professional		$12.60	$14.99	$41.41
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $212.23 / $212.23 / $212.23	Facility		$212.23	$212.23	$212.23
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.42 / $16.10	Professional		$6.76	$8.42	$16.10