Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $26.92 / $114.82	Facility		$10.96	$26.92	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.23 / $20.89	Professional		$7.59	$10.23	$20.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.41 / $8.71	Professional		$5.75	$7.41	$8.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $14.45 / $19.95	Facility		$7.41	$14.45	$19.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $8.71 / $23.44	Professional		$5.62	$8.71	$23.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $7.76 / $16.60	Facility		$7.41	$7.76	$16.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $11.48	Professional		$7.41	$7.41	$11.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $22.91 / $35.48	Facility		$11.22	$22.91	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $14.13 / $17.38	Professional		$7.08	$14.13	$17.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.22 / $40.74	Professional		$12.59	$16.22	$40.74
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $114.82 / $162.18	Facility		$72.44	$114.82	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $10.23 / $14.13	Facility		$6.76	$10.23	$14.13
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $8.13 / $20.89	Professional		$4.79	$8.13	$20.89