Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.92 / $38.01 / $100.80	Facility		$7.92	$38.01	$100.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $6.43 / $8.27	Professional		$5.33	$6.43	$8.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $4.32 / $4.90	Professional		$4.32	$4.32	$4.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.33 / $9.19 / $24.91	Facility		$5.33	$9.19	$24.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $5.33 / $14.43	Professional		$2.67	$5.33	$14.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $7.20 / $11.52	Facility		$4.68	$7.20	$11.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.68 / $7.20	Professional		$4.68	$4.68	$7.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.09 / $15.84 / $22.88	Facility		$7.09	$15.84	$22.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.12 / $8.67 / $10.84	Professional		$5.12	$8.67	$10.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $9.36 / $25.87	Professional		$7.87	$9.36	$25.87
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $938.40 / $1,663.61 / $2,164.00	Facility		$938.40	$1,663.61	$2,164.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.26 / $13.15	Professional		$3.02	$5.26	$13.15