Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $52.00 / $1,473.29	Facility		$15.54	$52.00	$1,473.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $3.28 / $16.00	Professional		$2.16	$3.28	$16.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.40 / $22.64	Professional		$10.00	$10.40	$22.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $6.10 / $10.84	Facility		$2.29	$6.10	$10.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.14 / $3.46 / $9.96	Professional		$1.14	$3.46	$9.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $11.51 / $17.26	Facility		$9.02	$11.51	$17.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.73 / $18.11	Professional		$10.72	$10.73	$18.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $2.04 / $58.00	Facility		$0.15	$2.04	$58.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $3.81 / $14.57	Professional		$2.63	$3.81	$14.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $7.20 / $15.00	Professional		$6.00	$7.20	$15.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $34.36 / $41.28 / $178.67	Facility		$34.36	$41.28	$178.67
United Facility/Professional Professional Modifier Low / Median / High Price $1.72 / $3.00 / $8.00	Professional		$1.72	$3.00	$8.00