Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.29 / $48.64 / $121.80	Facility		$5.29	$48.64	$121.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $4.23 / $5.66	Professional		$2.50	$4.23	$5.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $2.84 / $3.23	Professional		$2.37	$2.84	$3.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.42 / $6.05 / $16.39	Facility		$3.42	$6.05	$16.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $2.34 / $9.55	Professional		$1.75	$2.34	$9.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.08 / $4.74 / $7.58	Facility		$3.08	$4.74	$7.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.08 / $3.08 / $4.74	Professional		$3.08	$3.08	$4.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $10.43 / $14.71	Facility		$4.84	$10.43	$14.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $5.78 / $7.23	Professional		$2.90	$5.78	$7.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $6.16 / $17.05	Professional		$5.18	$6.16	$17.05
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $98.87 / $118.76 / $222.21	Facility		$98.87	$118.76	$222.21
United Facility/Professional Facility Modifier Low / Median / High Price $2.61 / $2.71 / $5.93	Facility		$2.61	$2.71	$5.93
United Facility/Professional Professional Modifier Low / Median / High Price $2.13 / $3.36 / $8.30	Professional		$2.13	$3.36	$8.30