Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.48 / $62.39 / $170.20	Facility		$6.48	$62.39	$170.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.66 / $8.89	Professional		$4.79	$5.66	$8.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $4.41	Professional		$3.89	$3.89	$4.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $8.27 / $21.29	Facility		$4.80	$8.27	$21.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $4.80 / $13.24	Professional		$2.40	$4.80	$13.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $6.48 / $10.37	Facility		$4.21	$6.48	$10.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $4.21 / $6.48	Professional		$4.21	$4.21	$6.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.45 / $14.26 / $20.43	Facility		$6.45	$14.26	$20.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $7.43 / $9.81	Professional		$3.24	$7.43	$9.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.42 / $23.30	Professional		$7.08	$8.42	$23.30
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,123.17 / $2,395.73 / $2,932.00	Facility		$2,123.17	$2,395.73	$2,932.00
United Facility/Professional Facility Modifier Low / Median / High Price $2.17 / $2.17 / $2.17	Facility		$2.17	$2.17	$2.17
United Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $4.73 / $11.84	Professional		$3.81	$4.73	$11.84