Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.23 / $14.35 / $70.55	Facility		$5.23	$14.35	$70.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.85 / $10.09	Professional		$6.08	$6.85	$10.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $4.72 / $4.72	Professional		$4.72	$4.72	$4.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.82 / $10.03 / $25.84	Facility		$5.82	$10.03	$25.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.91 / $5.82 / $16.07	Professional		$2.91	$5.82	$16.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.11 / $7.86 / $12.58	Facility		$5.11	$7.86	$12.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.11 / $5.11 / $7.86	Professional		$5.11	$5.11	$7.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.74 / $17.29 / $24.51	Facility		$7.74	$17.29	$24.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.49 / $9.50 / $11.88	Professional		$5.49	$9.50	$11.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $10.22 / $28.24	Professional		$8.59	$10.22	$28.24
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $433.46 / $433.46 / $638.17	Facility		$433.46	$433.46	$638.17
United Facility/Professional Professional Modifier Low / Median / High Price $4.61 / $5.74 / $10.98	Professional		$4.61	$5.74	$10.98