Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.79 / $19.12 / $108.50	Facility		$5.79	$19.12	$108.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $5.42 / $7.24	Professional		$4.76	$5.42	$7.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $3.62 / $3.62	Professional		$3.62	$3.62	$3.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $7.71 / $20.86	Facility		$4.34	$7.71	$20.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.23 / $2.98 / $12.09	Professional		$2.23	$2.98	$12.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.92 / $6.03 / $9.65	Facility		$3.92	$6.03	$9.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.92 / $3.92 / $6.03	Professional		$3.92	$3.92	$6.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.13 / $13.27 / $18.80	Facility		$6.13	$13.27	$18.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.67 / $7.43 / $9.28	Professional		$3.67	$7.43	$9.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.59 / $7.84 / $21.68	Professional		$6.59	$7.84	$21.68
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $18.50 / $18.50 / $18.50	Facility		$18.50	$18.50	$18.50
United Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $4.26 / $11.02	Professional		$3.00	$4.26	$11.02