Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $15.14 / $64.57	Facility		$7.08	$15.14	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.08 / $14.79	Professional		$5.01	$7.08	$14.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $5.50 / $7.94	Professional		$3.89	$5.50	$7.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $10.00 / $19.05	Facility		$5.75	$10.00	$19.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $9.12 / $16.22	Professional		$3.89	$9.12	$16.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.37 / $11.48	Facility		$5.13	$5.37	$11.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $7.94	Professional		$5.13	$5.13	$7.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $15.49 / $23.99	Facility		$7.76	$15.49	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $9.12 / $11.75	Professional		$4.90	$9.12	$11.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.22 / $28.18	Professional		$8.51	$11.22	$28.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $436.52	Facility		$371.54	$371.54	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $7.08 / $9.33	Facility		$4.57	$7.08	$9.33
United Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $5.37 / $14.45	Professional		$3.31	$5.37	$14.45