Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $31.83 / $124.38	Facility		$6.46	$31.83	$124.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $4.51 / $8.22	Professional		$3.43	$4.51	$8.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $3.01 / $3.42	Professional		$3.01	$3.01	$3.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.71 / $6.41 / $16.48	Facility		$3.71	$6.41	$16.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $3.71 / $10.26	Professional		$1.86	$3.71	$10.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $5.01 / $8.02	Facility		$3.26	$5.01	$8.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $3.26 / $5.01	Professional		$3.26	$3.26	$5.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.16 / $11.04 / $15.68	Facility		$5.16	$11.04	$15.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $5.78 / $7.75	Professional		$2.43	$5.78	$7.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.49 / $6.53 / $18.05	Professional		$5.49	$6.53	$18.05
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,750.73 / $2,123.17 / $2,932.00	Facility		$1,750.73	$2,123.17	$2,932.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $3.67 / $8.78	Professional		$2.25	$3.67	$8.78