Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.38 / $35.64 / $130.90	Facility		$12.38	$35.64	$130.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $11.21 / $12.38	Professional		$8.58	$11.21	$12.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $7.74 / $7.74	Professional		$7.74	$7.74	$7.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.31 / $16.48 / $44.63	Facility		$9.31	$16.48	$44.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $6.37 / $25.84	Professional		$4.76	$6.37	$25.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.39 / $12.90 / $20.64	Facility		$8.39	$12.90	$20.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.39 / $8.39 / $12.90	Professional		$8.39	$8.39	$12.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.90 / $28.38 / $40.03	Facility		$12.90	$28.38	$40.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $15.69 / $19.61	Professional		$6.56	$15.69	$19.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.10 / $16.77 / $46.31	Professional		$14.10	$16.77	$46.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $2,500.00 / $5,938.87	Facility		$2,500.00	$2,500.00	$5,938.87
United Facility/Professional Facility Modifier Low / Median / High Price $7.10 / $7.10 / $7.39	Facility		$7.10	$7.10	$7.39
United Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $9.42 / $23.57	Professional		$7.10	$9.42	$23.57