Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.71 / $53.34 / $121.93	Facility		$9.71	$53.34	$121.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $8.31 / $12.90	Professional		$6.80	$8.31	$12.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $5.83 / $6.61	Professional		$4.86	$5.83	$6.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.19 / $12.41 / $31.88	Facility		$7.19	$12.41	$31.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $7.19 / $20.38	Professional		$3.60	$7.19	$20.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $9.71 / $15.54	Facility		$6.31	$9.71	$15.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $9.71	Professional		$6.31	$6.31	$9.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.66 / $21.36 / $30.31	Facility		$8.66	$21.36	$30.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $11.98 / $14.98	Professional		$4.94	$11.98	$14.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $12.62 / $34.86	Professional		$10.61	$12.62	$34.86
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $646.98 / $777.18 / $2,418.00	Facility		$646.98	$777.18	$2,418.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $7.14 / $20.00	Professional		$4.95	$7.14	$20.00