Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $17.38 / $123.03	Facility		$4.90	$17.38	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.57 / $11.22	Professional		$3.02	$4.57	$11.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $3.09 / $3.16	Professional		$2.19	$3.09	$3.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $6.61 / $8.91	Facility		$3.39	$6.61	$8.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.89 / $9.33	Professional		$2.57	$3.89	$9.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $3.98 / $7.59	Facility		$3.39	$3.98	$7.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.39 / $5.13	Professional		$3.39	$3.39	$5.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $10.23 / $15.85	Facility		$5.13	$10.23	$15.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $5.75 / $7.76	Professional		$3.24	$5.75	$7.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.41 / $15.85	Professional		$5.62	$7.41	$15.85
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $2,344.23	Facility		$1,318.26	$1,318.26	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $4.68 / $6.46	Facility		$3.02	$4.68	$6.46
United Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $3.09 / $9.33	Professional		$2.19	$3.09	$9.33