Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.71 / $44.85 / $89.90	Facility		$10.71	$44.85	$89.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.42 / $9.65 / $15.07	Professional		$7.42	$9.65	$15.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $6.70 / $7.60	Professional		$6.70	$6.70	$7.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.06 / $14.26 / $38.61	Facility		$8.06	$14.26	$38.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $5.51 / $22.37	Professional		$4.13	$5.51	$22.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.25 / $11.16 / $17.86	Facility		$7.25	$11.16	$17.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.25 / $11.16	Professional		$7.25	$7.25	$11.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.29 / $24.55 / $35.13	Facility		$11.29	$24.55	$35.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $13.63 / $17.04	Professional		$6.87	$13.63	$17.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $14.51 / $40.11	Professional		$12.19	$14.51	$40.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $455.81 / $547.53 / $669.18	Facility		$455.81	$547.53	$669.18
United Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $8.15 / $20.39	Professional		$6.14	$8.15	$20.39