Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $52.48 / $229.09	Facility		$8.32	$52.48	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $5.75 / $14.45	Professional		$4.27	$5.75	$14.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $3.98 / $8.13	Professional		$2.88	$3.98	$8.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $8.32 / $15.85	Facility		$4.79	$8.32	$15.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $7.94 / $13.18	Professional		$3.16	$7.94	$13.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.27 / $9.33	Facility		$4.17	$4.27	$9.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $6.46	Professional		$4.17	$4.17	$6.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $12.88 / $19.95	Facility		$6.46	$12.88	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $7.24 / $9.77	Professional		$3.24	$7.24	$9.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $9.77 / $22.39	Professional		$6.46	$9.77	$22.39
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $467.74 / $1,148.15	Facility		$102.33	$467.74	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $5.75 / $7.76	Facility		$3.72	$5.75	$7.76
United Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $4.37 / $11.75	Professional		$2.69	$4.37	$11.75