Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.17 / $40.83 / $121.20	Facility		$14.17	$40.83	$121.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $11.51 / $23.20	Professional		$9.23	$11.51	$23.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $7.73 / $7.73	Professional		$7.73	$7.73	$7.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.28 / $16.45 / $44.56	Facility		$9.28	$16.45	$44.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $6.36 / $25.82	Professional		$4.76	$6.36	$25.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.36 / $12.88 / $20.61	Facility		$8.36	$12.88	$20.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $8.36 / $12.88	Professional		$8.36	$8.36	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.90 / $28.34 / $40.03	Facility		$12.90	$28.34	$40.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $15.69 / $19.61	Professional		$7.94	$15.69	$19.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.07 / $16.73 / $46.28	Professional		$14.07	$16.73	$46.28
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,635.21 / $1,635.21 / $1,635.21	Facility		$1,635.21	$1,635.21	$1,635.21
United Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $9.41 / $23.53	Professional		$5.41	$9.41	$23.53