Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $47.86 / $141.25	Facility		$9.77	$47.86	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.71 / $21.88	Professional		$6.76	$8.71	$21.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $6.17 / $13.80	Professional		$4.17	$6.17	$13.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $12.59 / $23.99	Facility		$7.24	$12.59	$23.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $11.48 / $20.42	Professional		$5.01	$11.48	$20.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $6.46 / $14.13	Facility		$6.31	$6.46	$14.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $9.77	Professional		$6.31	$6.31	$9.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $19.05 / $30.20	Facility		$9.77	$19.05	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $11.22 / $15.14	Professional		$4.90	$11.22	$15.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.80 / $34.67	Professional		$10.72	$13.80	$34.67
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $2,137.96	Facility		$549.54	$549.54	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $8.71 / $11.75	Facility		$5.62	$8.71	$11.75
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $7.08 / $17.78	Professional		$4.07	$7.08	$17.78