Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.19 / $40.47 / $106.43	Facility		$13.19	$40.47	$106.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.01 / $15.23 / $42.65	Professional		$11.01	$15.23	$42.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $8.27 / $8.69	Professional		$8.27	$8.27	$8.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.96 / $18.29 / $50.42	Facility		$11.96	$18.29	$50.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.96 / $9.93 / $26.07	Professional		$4.96	$9.93	$26.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.76 / $16.55 / $26.48	Facility		$10.76	$16.55	$26.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $10.76 / $16.55	Professional		$10.76	$10.76	$16.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.11 / $36.40 / $51.21	Facility		$15.11	$36.40	$51.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.45 / $19.00 / $25.30	Professional		$7.45	$19.00	$25.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $24.93 / $41.84	Professional		$18.39	$24.93	$41.84
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,334.25 / $1,663.61 / $2,164.00	Facility		$1,334.25	$1,663.61	$2,164.00
United Facility/Professional Facility Modifier Low / Median / High Price $14.80 / $14.90 / $16.55	Facility		$14.80	$14.90	$16.55
United Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $16.55 / $20.11	Professional		$14.00	$16.55	$20.11