Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.87 / $16.10 / $74.20	Facility		$4.87	$16.10	$74.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $4.26 / $6.24	Professional		$3.96	$4.26	$6.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.05 / $3.05 / $3.05	Professional		$3.05	$3.05	$3.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.67 / $6.48 / $17.57	Facility		$3.67	$6.48	$17.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $2.34 / $9.84	Professional		$1.75	$2.34	$9.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.30 / $5.08 / $8.13	Facility		$3.30	$5.08	$8.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $3.30 / $5.08	Professional		$3.30	$3.30	$5.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.16 / $11.18 / $15.68	Facility		$5.16	$11.18	$15.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $6.20 / $7.75	Professional		$2.90	$6.20	$7.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.55 / $6.60 / $17.07	Professional		$5.55	$6.60	$17.07
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 Professional Modifier Low / Median / High Price $2.13 / $3.47 / $9.27	Professional		$2.13	$3.47	$9.27