Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $97.72 / $389.05	Facility		$12.88	$97.72	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $46.77	Professional		$12.02	$12.88	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $30.90 / $141.25	Professional		$9.33	$30.90	$141.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $14.13 / $70.79	Facility		$12.88	$14.13	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.13 / $14.79	Professional		$12.88	$14.13	$14.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.80 / $13.80	Facility		$13.18	$13.80	$13.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $26.30 / $109.65	Professional		$13.18	$26.30	$109.65
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $4,786.30	Facility		$1,659.59	$1,659.59	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $114.82 / $162.18	Facility		$58.88	$114.82	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $16.60	Professional		$12.88	$12.88	$16.60