Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.95 / $40.26 / $123.20	Facility		$5.95	$40.26	$123.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.33 / $5.13 / $9.46	Professional		$4.33	$5.13	$9.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $3.47 / $3.94	Professional		$2.89	$3.47	$3.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $7.38 / $20.00	Facility		$4.17	$7.38	$20.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.86 / $11.60	Professional		$2.14	$2.86	$11.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.76 / $5.78 / $9.25	Facility		$3.76	$5.78	$9.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.76 / $3.76 / $5.78	Professional		$3.76	$3.76	$5.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.80 / $12.72 / $17.98	Facility		$5.80	$12.72	$17.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $7.02 / $8.77	Professional		$4.01	$7.02	$8.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $7.51 / $20.80	Professional		$6.32	$7.51	$20.80
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $85.83 / $103.11 / $110.60	Facility		$85.83	$103.11	$110.60
United Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $4.76 / $10.56	Professional		$3.40	$4.76	$10.56