Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $35.42 / $109.25	Facility		$4.84	$35.42	$109.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $3.21 / $5.77	Professional		$2.86	$3.21	$5.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.84 / $2.20 / $2.50	Professional		$1.84	$2.20	$2.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $4.69 / $12.70	Facility		$2.65	$4.69	$12.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.81 / $7.41	Professional		$1.35	$1.81	$7.41
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 $2.29 / $4.54 / $5.68	Professional		$2.29	$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 $121.69 / $146.18 / $165.77	Facility		$121.69	$146.18	$165.77
United Facility/Professional Facility Modifier Low / Median / High Price $3.30 / $3.30 / $4.54	Facility		$3.30	$3.30	$4.54
United Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.68 / $5.12	Professional		$2.02	$2.68	$5.12