Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.71 / $72.75 / $222.60	Facility		$23.71	$72.75	$222.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $17.77 / $35.14	Professional		$10.22	$17.77	$35.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $12.52 / $12.52	Professional		$12.26	$12.52	$12.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.94 / $23.17 / $66.81	Facility		$13.94	$23.17	$66.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.81 / $11.68 / $34.36	Professional		$6.81	$11.68	$34.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.55 / $19.30 / $30.90	Facility		$12.55	$19.30	$30.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $12.55 / $19.30	Professional		$12.55	$12.55	$19.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.93 / $42.48 / $59.57	Facility		$16.93	$42.48	$59.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $10.16 / $26.73	Professional		$10.16	$10.16	$26.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $21.24 / $85.67	Professional		$19.30	$21.24	$85.67
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $151.47 / $181.97 / $209.29	Facility		$151.47	$181.97	$209.29
United Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $15.05 / $40.54	Professional		$10.79	$15.05	$40.54