Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.59 / $37.03 / $98.89	Facility		$6.59	$37.03	$98.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.15 / $5.98 / $7.16	Professional		$5.15	$5.98	$7.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $4.12 / $4.68	Professional		$4.12	$4.12	$4.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.96 / $8.77 / $23.77	Facility		$4.96	$8.77	$23.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $3.39 / $13.78	Professional		$2.54	$3.39	$13.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $6.87 / $10.99	Facility		$4.47	$6.87	$10.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $6.87	Professional		$4.47	$4.47	$6.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.77 / $15.11 / $21.24	Facility		$6.77	$15.11	$21.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $8.26 / $10.33	Professional		$4.28	$8.26	$10.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $8.93 / $24.71	Professional		$7.51	$8.93	$24.71
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $193.75 / $232.72 / $278.92	Facility		$193.75	$232.72	$278.92
United Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $5.01 / $14.15	Professional		$3.06	$5.01	$14.15