Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.41 / $54.63 / $213.66	Facility		$8.41	$54.63	$213.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $5.63 / $7.76	Professional		$4.78	$5.63	$7.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $3.88 / $4.30	Professional		$2.16	$3.88	$4.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $8.26 / $21.25	Facility		$4.79	$8.26	$21.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.39 / $4.79 / $13.59	Professional		$2.39	$4.79	$13.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $6.47 / $10.35	Facility		$4.21	$6.47	$10.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $4.21 / $6.47	Professional		$4.21	$4.21	$6.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.45 / $14.23 / $20.43	Facility		$6.45	$14.23	$20.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $7.43 / $9.81	Professional		$3.24	$7.43	$9.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.47 / $9.75 / $22.57	Professional		$6.47	$9.75	$22.57
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $98.87 / $118.76 / $197.68	Facility		$98.87	$118.76	$197.68
United Facility/Professional Professional Modifier Low / Median / High Price $2.91 / $4.73 / $13.70	Professional		$2.91	$4.73	$13.70