Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $28.18 / $97.72	Facility		$6.46	$28.18	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.57 / $12.59	Professional		$3.02	$4.57	$12.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $3.47 / $5.01	Professional		$2.51	$3.47	$5.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $6.46 / $12.30	Facility		$3.72	$6.46	$12.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $6.03 / $10.23	Professional		$2.45	$6.03	$10.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $3.39 / $7.24	Facility		$3.24	$3.39	$7.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $5.01	Professional		$3.24	$3.24	$5.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $10.23 / $15.85	Facility		$5.13	$10.23	$15.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $5.75 / $7.76	Professional		$2.45	$5.75	$7.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $7.08 / $18.20	Professional		$5.50	$7.08	$18.20
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $3,715.35	Facility		$1,348.96	$1,348.96	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $4.47 / $6.03	Facility		$2.88	$4.47	$6.03
United Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $3.39 / $9.12	Professional		$2.09	$3.39	$9.12