Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $26.06 / $75.34	Facility		$4.09	$26.06	$75.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $3.29 / $5.88	Professional		$2.37	$3.29	$5.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $2.20 / $2.20	Professional		$2.20	$2.20	$2.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.72 / $4.69 / $12.70	Facility		$2.72	$4.69	$12.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $2.72 / $7.37	Professional		$1.35	$2.72	$7.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.39 / $3.67 / $5.87	Facility		$2.39	$3.67	$5.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.39 / $2.39 / $3.67	Professional		$2.39	$2.39	$3.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $8.07 / $11.48	Facility		$3.55	$8.07	$11.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $4.54 / $5.68	Professional		$2.56	$4.54	$5.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.76 / $13.17	Professional		$4.01	$4.76	$13.17
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,299.68 / $2,123.17 / $2,932.00	Facility		$1,299.68	$2,123.17	$2,932.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.68 / $6.71	Professional		$2.02	$2.68	$6.71