Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $42.66 / $131.83	Facility		$7.41	$42.66	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.22 / $25.12	Professional		$7.94	$11.22	$25.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $8.71 / $8.71	Professional		$7.59	$8.71	$8.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $15.14 / $21.88	Facility		$6.17	$15.14	$21.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $6.17 / $9.55	Professional		$4.68	$6.17	$9.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.51 / $18.20	Facility		$8.13	$8.51	$18.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $12.59	Professional		$8.13	$8.13	$12.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $25.12 / $38.90	Facility		$12.59	$25.12	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $15.14 / $19.05	Professional		$7.76	$15.14	$19.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.45 / $23.99	Professional		$13.49	$14.45	$23.99
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,513.56 / $1,513.56	Facility		$851.14	$1,513.56	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $11.22 / $15.49	Facility		$7.41	$11.22	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $5.25 / $17.38	Professional		$2.69	$5.25	$17.38