Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.50 / $20.30 / $139.52	Facility		$8.50	$20.30	$139.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.30 / $8.49 / $16.05	Professional		$7.30	$8.49	$16.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $5.66 / $5.66	Professional		$5.66	$5.66	$5.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.82 / $12.06 / $32.65	Facility		$6.82	$12.06	$32.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $4.66 / $18.45	Professional		$3.47	$4.66	$18.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.93 / $9.44 / $15.10	Facility		$5.93	$9.44	$15.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $6.14 / $9.44	Professional		$6.14	$6.14	$9.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $20.77 / $29.41	Facility		$9.35	$20.77	$29.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $11.56 / $14.45	Professional		$6.14	$11.56	$14.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $12.27 / $33.89	Professional		$10.32	$12.27	$33.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,164.00 / $2,164.00 / $2,164.00	Facility		$2,164.00	$2,164.00	$2,164.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $6.89 / $13.18	Professional		$4.25	$6.89	$13.18