Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.07 / $58.24 / $167.45	Facility		$8.07	$58.24	$167.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.65 / $7.03 / $9.40	Professional		$5.65	$7.03	$9.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $4.84 / $5.50	Professional		$4.84	$4.84	$5.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.83 / $10.31 / $27.92	Facility		$5.83	$10.31	$27.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $3.98 / $16.18	Professional		$2.98	$3.98	$16.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $8.07 / $12.91	Facility		$5.25	$8.07	$12.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $8.07	Professional		$5.25	$5.25	$8.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.06 / $17.75 / $25.33	Facility		$8.06	$17.75	$25.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $9.91 / $12.39	Professional		$5.25	$9.91	$12.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $12.16 / $28.16	Professional		$9.27	$12.16	$28.16
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $22.27 / $85.28	Facility		$18.55	$22.27	$85.28
United Facility/Professional Facility Modifier Low / Median / High Price $4.44 / $4.44 / $4.62	Facility		$4.44	$4.44	$4.62
United Facility/Professional Professional Modifier Low / Median / High Price $4.44 / $6.30 / $14.66	Professional		$4.44	$6.30	$14.66