Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.78 / $25.79 / $210.07	Facility		$10.78	$25.79	$210.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $10.71 / $13.78	Professional		$8.52	$10.71	$13.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $7.19 / $7.19	Professional		$7.19	$7.19	$7.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.65 / $15.31 / $41.45	Facility		$8.65	$15.31	$41.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.44 / $5.92 / $23.51	Professional		$4.44	$5.92	$23.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.79 / $11.98 / $19.17	Facility		$7.79	$11.98	$19.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $7.79 / $11.98	Professional		$7.79	$7.79	$11.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.93 / $26.36 / $37.58	Facility		$11.93	$26.36	$37.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $14.46 / $18.07	Professional		$7.79	$14.46	$18.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $15.57 / $43.10	Professional		$13.09	$15.57	$43.10
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $151.33 / $151.33 / $369.67	Facility		$151.33	$151.33	$369.67
United Facility/Professional Professional Modifier Low / Median / High Price $6.59 / $8.76 / $16.76	Professional		$6.59	$8.76	$16.76