Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $25.12 / $87.10	Facility		$4.37	$25.12	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.63 / $8.32	Professional		$2.00	$3.63	$8.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.51 / $2.75	Professional		$2.00	$2.51	$2.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $5.13 / $8.91	Facility		$3.55	$5.13	$8.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $3.98 / $8.32	Professional		$1.95	$3.98	$8.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $2.63 / $5.75	Facility		$2.57	$2.63	$5.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.57 / $3.98	Professional		$2.57	$2.57	$3.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $8.13 / $12.59	Facility		$3.89	$8.13	$12.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $5.01 / $6.17	Professional		$2.45	$5.01	$6.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.62 / $14.45	Professional		$4.37	$5.62	$14.45
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $933.25	Facility		$48.98	$48.98	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $3.63 / $4.79	Facility		$2.34	$3.63	$4.79
United Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $2.95 / $8.32	Professional		$1.70	$2.95	$8.32