Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $42.66 / $141.25	Facility		$10.47	$42.66	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.32 / $16.60	Professional		$6.03	$8.32	$16.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $6.31 / $6.61	Professional		$4.68	$6.31	$6.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $12.02 / $20.89	Facility		$8.32	$12.02	$20.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $9.12 / $19.50	Professional		$4.68	$9.12	$19.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $7.24 / $13.80	Facility		$6.17	$7.24	$13.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $9.33	Professional		$6.17	$6.17	$9.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $19.05 / $29.51	Facility		$9.33	$19.05	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $10.72 / $14.45	Professional		$5.75	$10.72	$14.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.49 / $33.88	Professional		$10.23	$13.49	$33.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,511.89	Facility		$1,513.56	$1,513.56	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $8.51 / $11.22	Facility		$5.50	$8.51	$11.22
United Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.92 / $17.38	Professional		$3.98	$6.92	$17.38