Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $61.66 / $194.98	Facility		$10.00	$61.66	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.13 / $19.95	Professional		$6.03	$8.13	$19.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $5.37 / $9.12	Professional		$3.80	$5.37	$9.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $11.48 / $16.98	Facility		$5.89	$11.48	$16.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $6.92 / $18.20	Professional		$4.47	$6.92	$18.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $6.17 / $13.18	Facility		$5.89	$6.17	$13.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $9.12	Professional		$5.89	$5.89	$9.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $18.20 / $28.18	Facility		$9.12	$18.20	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $11.22 / $13.80	Professional		$5.50	$11.22	$13.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.88 / $32.36	Professional		$9.77	$12.88	$32.36
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $331.13	Facility		$123.03	$123.03	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $8.13 / $10.72	Facility		$5.25	$8.13	$10.72
United Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $6.17 / $16.60	Professional		$3.80	$6.17	$16.60