Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $9,024.01 / $9,800.95	Facility		$13.12	$9,024.01	$9,800.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $13.49 / $16.91	Professional		$13.12	$13.49	$16.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $13.58 / $13.58	Professional		$13.58	$13.58	$13.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $21.96 / $49.51	Facility		$13.49	$21.96	$49.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $14.39	Professional		$13.49	$13.49	$14.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $21.58	Facility		$13.49	$13.49	$21.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $13.49 / $21.58	Professional		$13.12	$13.49	$21.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $12.72 / $13.49	Facility		$12.72	$12.72	$13.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $17.18	Professional		$13.49	$13.49	$17.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $21.73 / $97.00	Professional		$13.45	$21.73	$97.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $22.93 / $42.90	Professional		$13.49	$22.93	$42.90
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.23 / $17.27	Professional		$13.49	$14.23	$17.27