Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.16 / $47.40 / $119.04	Facility		$7.16	$47.40	$119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $5.68 / $7.79	Professional		$5.08	$5.68	$7.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $3.91 / $4.43	Professional		$3.91	$3.91	$4.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.82 / $8.31 / $22.52	Facility		$4.82	$8.31	$22.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $4.82 / $13.06	Professional		$2.41	$4.82	$13.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $6.51 / $10.42	Facility		$4.23	$6.51	$10.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.23 / $6.51	Professional		$4.23	$4.23	$6.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.45 / $14.32 / $20.43	Facility		$6.45	$14.32	$20.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $7.85 / $9.81	Professional		$4.57	$7.85	$9.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $8.46 / $23.40	Professional		$7.11	$8.46	$23.40
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $98.87 / $118.76 / $197.68	Facility		$98.87	$118.76	$197.68
United Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $5.33 / $11.83	Professional		$3.06	$5.33	$11.83