Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.36 / $48.30 / $114.58	Facility		$6.36	$48.30	$114.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.53 / $6.42	Professional		$3.00	$3.53	$6.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.57 / $2.68	Professional		$2.57	$2.57	$2.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.10 / $5.48 / $13.07	Facility		$3.10	$5.48	$13.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $2.91 / $8.36	Professional		$1.45	$2.91	$8.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.79 / $4.29 / $6.86	Facility		$2.79	$4.29	$6.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.79 / $4.29	Professional		$2.79	$2.79	$4.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.19 / $9.44 / $13.58	Facility		$4.19	$9.44	$13.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $4.96 / $6.71	Professional		$1.94	$4.96	$6.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.93 / $6.46 / $13.71	Professional		$4.93	$6.46	$13.71
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,370.91 / $1,663.61 / $2,164.00	Facility		$1,370.91	$1,663.61	$2,164.00
United Facility/Professional Facility Modifier Low / Median / High Price $3.86 / $3.86 / $3.86	Facility		$3.86	$3.86	$3.86
United Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $5.39 / $6.59	Professional		$2.57	$5.39	$6.59