Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.84 / $70.08 / $690.90	Facility		$5.84	$70.08	$690.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $77.18 / $192.64	Professional		$9.02	$77.18	$192.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.13 / $3.13	Professional		$3.13	$3.13	$3.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.77 / $6.67 / $18.05	Facility		$3.77	$6.67	$18.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.93 / $2.96 / $10.47	Professional		$1.93	$2.96	$10.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $5.22 / $8.35	Facility		$3.39	$5.22	$8.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.39 / $5.22	Professional		$3.39	$3.39	$5.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.16 / $11.48 / $16.34	Facility		$5.16	$11.48	$16.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $6.20 / $7.75	Professional		$3.21	$6.20	$7.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $6.79 / $18.77	Professional		$5.70	$6.79	$18.77
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $340.96 / $409.56 / $503.99	Facility		$340.96	$409.56	$503.99
United Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $4.09 / $7.30	Professional		$3.07	$4.09	$7.30