Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.76 / $27.34 / $92.40	Facility		$5.76	$27.34	$92.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $4.61 / $7.37	Professional		$3.43	$4.61	$7.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $3.10 / $3.10	Professional		$3.10	$3.10	$3.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.73 / $6.60 / $17.85	Facility		$3.73	$6.60	$17.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $2.54 / $10.37	Professional		$1.91	$2.54	$10.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.35 / $5.16 / $8.26	Facility		$3.35	$5.16	$8.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $3.35 / $5.16	Professional		$3.35	$3.35	$5.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.16 / $11.35 / $16.34	Facility		$5.16	$11.35	$16.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $6.20 / $7.75	Professional		$3.63	$6.20	$7.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $6.71 / $18.52	Professional		$5.64	$6.71	$18.52
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $168.67 / $202.62 / $242.96	Facility		$168.67	$202.62	$242.96
United Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $4.63 / $6.38	Facility		$4.63	$4.63	$6.38
United Facility/Professional Professional Modifier Low / Median / High Price $2.17 / $4.22 / $10.84	Professional		$2.17	$4.22	$10.84