Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $17.78 / $120.23	Facility		$8.71	$17.78	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.71 / $21.38	Professional		$6.03	$8.71	$21.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $6.76 / $9.77	Professional		$5.89	$6.76	$9.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $12.30 / $16.98	Facility		$6.31	$12.30	$16.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.41 / $19.95	Professional		$4.79	$7.41	$19.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $6.61 / $14.13	Facility		$6.31	$6.61	$14.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $9.77	Professional		$6.31	$6.31	$9.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $19.50 / $30.20	Facility		$9.77	$19.50	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $12.02 / $15.14	Professional		$6.03	$12.02	$15.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.80 / $34.67	Professional		$10.72	$13.80	$34.67
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $281.84	Facility		$177.83	$177.83	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $8.71 / $12.02	Facility		$5.75	$8.71	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $6.46 / $17.78	Professional		$4.07	$6.46	$17.78