Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.38 / $16.54 / $83.11	Facility		$5.38	$16.54	$83.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $4.25 / $5.84	Professional		$2.93	$4.25	$5.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $2.93 / $2.93	Professional		$2.93	$2.93	$2.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.52 / $6.23 / $16.88	Facility		$3.52	$6.23	$16.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $2.41 / $9.84	Professional		$1.80	$2.41	$9.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.17 / $4.88 / $7.81	Facility		$3.17	$4.88	$7.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.17 / $3.17 / $4.88	Professional		$3.17	$3.17	$4.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $10.74 / $15.53	Facility		$4.84	$10.74	$15.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $5.78 / $7.23	Professional		$3.45	$5.78	$7.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $6.34 / $17.55	Professional		$5.33	$6.34	$17.55
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,636.89 / $2,123.17 / $2,932.00	Facility		$1,636.89	$2,123.17	$2,932.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $3.57 / $10.05	Professional		$2.10	$3.57	$10.05