Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.98 / $29.59 / $164.16	Facility		$4.98	$29.59	$164.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $4.68 / $9.36	Professional		$4.04	$4.68	$9.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $3.11 / $3.11	Professional		$2.59	$3.11	$3.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.74 / $6.14 / $17.92	Facility		$3.74	$6.14	$17.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.92 / $2.56 / $9.24	Professional		$1.92	$2.56	$9.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.37 / $5.18 / $8.28	Facility		$3.37	$5.18	$8.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.37 / $3.37 / $5.18	Professional		$3.37	$3.37	$5.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.16 / $11.40 / $16.34	Facility		$5.16	$11.40	$16.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.37 / $6.20 / $7.75	Professional		$3.37	$6.20	$7.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $6.73 / $16.02	Professional		$5.66	$6.73	$16.02
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,663.61 / $2,000.57 / $2,164.00	Facility		$1,663.61	$2,000.57	$2,164.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.62 / $3.65 / $9.44	Professional		$2.62	$3.65	$9.44