Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.43 / $57.96 / $250.38	Facility		$9.43	$57.96	$250.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $6.98 / $15.00	Professional		$5.51	$6.98	$15.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $5.17 / $15.99	Professional		$4.30	$5.17	$15.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.22 / $9.98 / $26.23	Facility		$6.22	$9.98	$26.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $5.17 / $13.74	Professional		$2.58	$5.17	$13.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.07 / $8.61 / $13.78	Facility		$5.07	$8.61	$13.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $5.60 / $8.61	Professional		$5.60	$5.60	$8.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.18 / $18.94 / $26.11	Facility		$8.18	$18.94	$26.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $9.91 / $12.91	Professional		$3.88	$9.91	$12.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $12.97 / $21.43	Professional		$8.61	$12.97	$21.43
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,663.61 / $2,164.00 / $2,257.87	Facility		$1,663.61	$2,164.00	$2,257.87
United Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $8.77 / $10.63	Professional		$5.17	$8.77	$10.63