Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $44.00 / $188.64	Facility		$9.02	$44.00	$188.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.97 / $7.04 / $9.46	Professional		$5.97	$7.04	$9.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $4.04 / $4.84	Professional		$4.04	$4.04	$4.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.98 / $10.33 / $27.96	Facility		$5.98	$10.33	$27.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $5.98 / $15.85	Professional		$2.99	$5.98	$15.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $8.08 / $12.93	Facility		$5.25	$8.08	$12.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $8.08	Professional		$5.25	$5.25	$8.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.06 / $17.78 / $25.33	Facility		$8.06	$17.78	$25.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $9.07 / $12.39	Professional		$4.05	$9.07	$12.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $10.50 / $29.03	Professional		$8.83	$10.50	$29.03
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,663.61 / $1,970.56 / $2,164.00	Facility		$1,663.61	$1,970.56	$2,164.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.74 / $6.62 / $14.14	Professional		$4.74	$6.62	$14.14