Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.69 / $18.32 / $48.16	Facility		$5.69	$18.32	$48.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.65 / $5.78	Professional		$4.01	$4.65	$5.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $3.47	Professional		$3.47	$3.47	$3.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $7.06 / $20.00	Facility		$4.17	$7.06	$20.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.92 / $2.56 / $10.73	Professional		$1.92	$2.56	$10.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.76 / $5.78 / $9.25	Facility		$3.76	$5.78	$9.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.76 / $3.76 / $5.78	Professional		$3.76	$3.76	$5.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.80 / $12.72 / $17.78	Facility		$5.80	$12.72	$17.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $7.02 / $8.77	Professional		$3.21	$7.02	$8.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $7.51 / $18.59	Professional		$6.32	$7.51	$18.59
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $149.25 / $149.25 / $149.25	Facility		$149.25	$149.25	$149.25
United Facility/Professional Facility Modifier Low / Median / High Price $5.20 / $5.20 / $5.20	Facility		$5.20	$5.20	$5.20
United Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.78 / $10.56	Professional		$3.00	$3.78	$10.56