Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.75 / $38.83 / $108.50	Facility		$6.75	$38.83	$108.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $5.26 / $8.31	Professional		$2.40	$5.26	$8.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $3.62 / $4.11	Professional		$3.62	$3.62	$4.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.36 / $7.72 / $20.90	Facility		$4.36	$7.72	$20.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.23 / $2.98 / $12.11	Professional		$2.23	$2.98	$12.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.93 / $6.04 / $9.66	Facility		$3.93	$6.04	$9.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.93 / $3.93 / $6.04	Professional		$3.93	$3.93	$6.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.13 / $13.29 / $18.80	Facility		$6.13	$13.29	$18.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.67 / $7.43 / $9.28	Professional		$3.67	$7.43	$9.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $7.85 / $21.70	Professional		$6.60	$7.85	$21.70
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $95.19 / $114.33 / $275.19	Facility		$95.19	$114.33	$275.19
United Facility/Professional Facility Modifier Low / Median / High Price $5.44 / $5.44 / $5.44	Facility		$5.44	$5.44	$5.44
United Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $4.41 / $11.04	Professional		$2.54	$4.41	$11.04