Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.07 / $63.28 / $704.00	Facility		$10.07	$63.28	$704.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $6.77 / $10.23	Professional		$5.17	$6.77	$10.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.66 / $5.18	Professional		$3.89	$4.66	$5.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $9.93 / $25.01	Facility		$5.75	$9.93	$25.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $5.75 / $15.40	Professional		$2.88	$5.75	$15.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $7.77 / $12.43	Facility		$5.05	$7.77	$12.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $7.77	Professional		$5.05	$5.05	$7.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.93 / $17.09 / $24.51	Facility		$6.93	$17.09	$24.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $8.77 / $11.88	Professional		$3.89	$8.77	$11.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $10.10 / $27.93	Professional		$8.49	$10.10	$27.93
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,663.61 / $1,970.56 / $6,994.30	Facility		$1,663.61	$1,970.56	$6,994.30
United Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.63 / $2.63	Facility		$2.63	$2.63	$2.63
United Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $5.68 / $14.20	Professional		$3.55	$5.68	$14.20