Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.63 / $23.94 / $118.56	Facility		$6.63	$23.94	$118.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $5.78 / $9.22	Professional		$5.17	$5.78	$9.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Professional		$3.98	$3.98	$3.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $8.47 / $22.94	Facility		$4.79	$8.47	$22.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $3.27 / $13.28	Professional		$2.45	$3.27	$13.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $6.63 / $10.61	Facility		$4.30	$6.63	$10.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $4.30 / $6.63	Professional		$4.30	$4.30	$6.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.45 / $14.59 / $20.90	Facility		$6.45	$14.59	$20.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.37 / $8.26 / $10.33	Professional		$3.37	$8.26	$10.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $9.99 / $23.12	Professional		$7.62	$9.99	$23.12
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $154.66 / $185.77 / $362.55	Facility		$154.66	$185.77	$362.55
United Facility/Professional Facility Modifier Low / Median / High Price $5.97 / $5.97 / $8.21	Facility		$5.97	$5.97	$8.21
United Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.84 / $12.05	Professional		$3.89	$4.84	$12.05