Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $81.28 / $588.84	Facility		$10.96	$81.28	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.92 / $20.42	Professional		$5.75	$6.92	$20.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.25 / $9.77	Professional		$3.98	$5.25	$9.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $10.96 / $20.89	Facility		$6.31	$10.96	$20.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $10.00 / $17.78	Professional		$4.17	$10.00	$17.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $5.50 / $12.30	Facility		$5.37	$5.50	$12.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $8.51	Professional		$5.50	$5.50	$8.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $16.98 / $26.30	Facility		$8.32	$16.98	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $9.55 / $12.88	Professional		$4.17	$9.55	$12.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.02 / $30.20	Professional		$9.33	$12.02	$30.20
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $25,703.96 / $25,703.96	Facility		$3,388.44	$25,703.96	$25,703.96
United Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $7.59 / $10.23	Facility		$4.79	$7.59	$10.23
United Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $5.62 / $15.49	Professional		$3.55	$5.62	$15.49