Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.52 / $78.40 / $241.02	Facility		$7.52	$78.40	$241.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $6.55 / $9.02	Professional		$5.64	$6.55	$9.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $4.51 / $4.51	Professional		$4.51	$4.51	$4.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.57 / $9.28 / $22.91	Facility		$5.57	$9.28	$22.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $5.57 / $13.94	Professional		$2.79	$5.57	$13.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $7.52 / $12.03	Facility		$4.88	$7.52	$12.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $4.88 / $7.52	Professional		$4.88	$4.88	$7.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.42 / $16.54 / $23.69	Facility		$7.42	$16.54	$23.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $8.67 / $11.36	Professional		$3.73	$8.67	$11.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $11.33 / $22.40	Professional		$8.65	$11.33	$22.40
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,335.96 / $1,663.61 / $2,164.00	Facility		$1,335.96	$1,663.61	$2,164.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.77 / $4.88 / $13.59	Professional		$3.77	$4.88	$13.59