Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.99 / $14.99 / $10,913.28	Facility		$11.99	$14.99	$10,913.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $12.28 / $14.51	Professional		$11.99	$12.28	$14.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $26.36 / $26.36	Professional		$13.19	$26.36	$26.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $19.64 / $45.07	Facility		$12.28	$19.64	$45.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $12.52	Professional		$12.28	$12.28	$12.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $12.28 / $24.07	Facility		$12.28	$12.28	$24.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $12.28	Professional		$12.28	$12.28	$12.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $11.59 / $12.28	Facility		$11.59	$11.59	$12.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $17.13	Professional		$12.28	$12.28	$17.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $20.56 / $46.66	Professional		$17.12	$20.56	$46.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $22.73 / $51.50	Professional		$13.02	$22.73	$51.50
United Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.95 / $15.72	Professional		$12.28	$12.95	$15.72