Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.43 / $48.29 / $111.30	Facility		$7.43	$48.29	$111.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $5.64 / $7.76	Professional		$4.21	$5.64	$7.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $3.88 / $4.41	Professional		$3.88	$3.88	$4.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.67 / $8.26 / $22.39	Facility		$4.67	$8.26	$22.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.20 / $12.98	Professional		$2.40	$3.20	$12.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $6.47 / $10.35	Facility		$4.21	$6.47	$10.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $4.21 / $6.47	Professional		$4.21	$4.21	$6.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.45 / $14.23 / $20.43	Facility		$6.45	$14.23	$20.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $7.85 / $9.81	Professional		$4.21	$7.85	$9.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.07 / $8.41 / $23.28	Professional		$7.07	$8.41	$23.28
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $118.12 / $141.88 / $167.85	Facility		$118.12	$141.88	$167.85
United Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $1.95 / $1.95	Facility		$1.95	$1.95	$1.95
United Facility/Professional Professional Modifier Low / Median / High Price $2.91 / $4.73 / $13.59	Professional		$2.91	$4.73	$13.59