Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.93 / $17.88 / $119.70	Facility		$8.93	$17.88	$119.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.44 / $10.13	Professional		$6.46	$8.44	$10.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $5.83 / $5.83	Professional		$5.83	$5.83	$5.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.01 / $12.41 / $33.60	Facility		$7.01	$12.41	$33.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $4.80 / $19.46	Professional		$3.60	$4.80	$19.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $9.71 / $15.54	Facility		$6.31	$9.71	$15.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $9.71	Professional		$6.31	$6.31	$9.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.67 / $21.36 / $30.31	Facility		$9.67	$21.36	$30.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.96 / $11.98 / $14.98	Professional		$5.96	$11.98	$14.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $12.62 / $34.86	Professional		$10.61	$12.62	$34.86
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $282.60 / $282.60 / $282.60	Facility		$282.60	$282.60	$282.60
United Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $7.09 / $17.64	Professional		$4.37	$7.09	$17.64