Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $28.18 / $117.49	Facility		$8.51	$28.18	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.94 / $17.38	Professional		$5.75	$7.94	$17.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.17 / $6.17	Professional		$5.37	$6.17	$6.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $11.48 / $15.49	Facility		$5.75	$11.48	$15.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $7.76 / $18.20	Professional		$4.37	$7.76	$18.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $6.76 / $12.88	Facility		$5.75	$6.76	$12.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $8.91	Professional		$5.75	$5.75	$8.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $17.78 / $26.92	Facility		$9.12	$17.78	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $10.23 / $13.49	Professional		$5.50	$10.23	$13.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.49 / $30.90	Professional		$9.77	$13.49	$30.90
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $323.59	Facility		$275.42	$275.42	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $7.94 / $10.96	Facility		$5.25	$7.94	$10.96
United Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $6.46 / $16.22	Professional		$3.72	$6.46	$16.22