Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $36.31 / $77.62	Facility		$18.20	$36.31	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $46.77	Professional		$15.14	$18.20	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $13.49 / $13.80	Professional		$8.51	$13.49	$13.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $25.70 / $34.67	Facility		$13.18	$25.70	$34.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $24.55 / $45.71	Professional		$10.00	$24.55	$45.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $28.18 / $42.66	Facility		$23.99	$28.18	$42.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $26.30 / $26.92	Professional		$23.99	$26.30	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $39.81 / $60.26	Facility		$19.95	$39.81	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $23.99 / $60.26	Professional		$10.00	$23.99	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $28.18 / $154.88	Professional		$18.20	$28.18	$154.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $275.42	Facility		$229.09	$229.09	$275.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $18.20 / $24.55	Facility		$16.98	$18.20	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $14.13 / $31.62	Professional		$8.51	$14.13	$31.62