Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $37.79 / $97.50	Facility		$4.30	$37.79	$97.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.29 / $4.42 / $5.91	Professional		$3.29	$4.42	$5.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.97 / $2.97 / $2.97	Professional		$2.97	$2.97	$2.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.67 / $6.09 / $17.13	Facility		$3.67	$6.09	$17.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $3.63 / $7.13	Professional		$1.83	$3.63	$7.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $4.95 / $7.92	Facility		$3.22	$4.95	$7.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.22 / $4.95	Professional		$3.22	$3.22	$4.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $10.89 / $15.68	Facility		$4.84	$10.89	$15.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $6.20 / $7.75	Professional		$3.47	$6.20	$7.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $6.44 / $10.33	Professional		$5.41	$6.44	$10.33
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,343.16 / $1,663.61 / $2,164.00	Facility		$1,343.16	$1,663.61	$2,164.00
United Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $10.50 / $10.50	Facility		$10.50	$10.50	$10.50
United Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.97 / $6.92	Professional		$2.04	$2.97	$6.92