Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.47 / $12.40 / $99.42	Facility		$5.47	$12.40	$99.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.16 / $9.80	Professional		$4.47	$5.16	$9.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $3.46 / $3.46	Professional		$3.46	$3.46	$3.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.16 / $7.37 / $19.96	Facility		$4.16	$7.37	$19.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.13 / $2.85 / $11.57	Professional		$2.13	$2.85	$11.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.75 / $5.77 / $9.23	Facility		$3.75	$5.77	$9.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $3.75 / $5.77	Professional		$3.75	$3.75	$5.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.80 / $12.69 / $17.98	Facility		$5.80	$12.69	$17.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.51 / $7.02 / $8.77	Professional		$3.51	$7.02	$8.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.50 / $20.75	Professional		$6.31	$7.50	$20.75
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $241.82 / $290.45 / $366.39	Facility		$241.82	$290.45	$366.39
United Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.22 / $12.24	Professional		$3.39	$4.22	$12.24