Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.39 / $38.35 / $94.89	Facility		$6.39	$38.35	$94.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.59 / $9.02	Professional		$3.89	$4.59	$9.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.11 / $3.52	Professional		$3.11	$3.11	$3.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.83 / $6.62 / $17.92	Facility		$3.83	$6.62	$17.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.92 / $3.83 / $10.37	Professional		$1.92	$3.83	$10.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.85 / $5.18 / $8.28	Facility		$2.85	$5.18	$8.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.37 / $3.37 / $5.18	Professional		$3.37	$3.37	$5.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.16 / $11.40 / $16.34	Facility		$5.16	$11.40	$16.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $5.85 / $7.75	Professional		$2.59	$5.85	$7.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $7.36 / $40.76	Professional		$5.66	$7.36	$40.76
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $115.66 / $138.94 / $175.26	Facility		$115.66	$138.94	$175.26
United Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.78 / $9.41	Professional		$3.00	$3.78	$9.41