Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.96 / $87.42 / $475.05	Facility		$11.96	$87.42	$475.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $7.52 / $10.34	Professional		$6.38	$7.52	$10.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $4.30 / $5.17	Professional		$4.30	$4.30	$5.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.22 / $11.02 / $29.83	Facility		$6.22	$11.02	$29.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $4.26 / $17.26	Professional		$3.19	$4.26	$17.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.60 / $8.61 / $13.79	Facility		$5.60	$8.61	$13.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $5.60 / $8.61	Professional		$5.60	$5.60	$8.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $18.96 / $26.96	Facility		$8.71	$18.96	$26.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $10.33 / $12.91	Professional		$5.60	$10.33	$12.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $12.99 / $30.03	Professional		$9.91	$12.99	$30.03
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $873.99 / $1,276.90 / $1,750.00	Facility		$873.99	$1,276.90	$1,750.00
United Facility/Professional Facility Modifier Low / Median / High Price $4.74 / $4.94 / $10.78	Facility		$4.74	$4.94	$10.78
United Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $6.29 / $15.75	Professional		$5.00	$6.29	$15.75