Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.24 / $36.67 / $100.80	Facility		$6.24	$36.67	$100.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $4.96 / $9.66	Professional		$4.38	$4.96	$9.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $3.40 / $3.86	Professional		$3.40	$3.40	$3.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $7.25 / $19.62	Facility		$4.09	$7.25	$19.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.80 / $11.38	Professional		$2.10	$2.80	$11.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.69 / $5.67 / $9.07	Facility		$3.69	$5.67	$9.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.69 / $3.69 / $5.67	Professional		$3.69	$3.69	$5.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.80 / $12.47 / $17.98	Facility		$5.80	$12.47	$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 $6.20 / $7.37 / $20.39	Professional		$6.20	$7.37	$20.39
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $288.89 / $347.02 / $421.41	Facility		$288.89	$347.02	$421.41
United Facility/Professional Professional Modifier Low / Median / High Price $3.12 / $4.67 / $9.93	Professional		$3.12	$4.67	$9.93