Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.91 / $17.09 / $160.05	Facility		$5.91	$17.09	$160.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.58 / $5.11 / $9.77	Professional		$3.58	$5.11	$9.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $3.23 / $3.23	Professional		$3.23	$3.23	$3.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $6.89 / $18.64	Facility		$3.89	$6.89	$18.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.66 / $10.76	Professional		$1.99	$2.66	$10.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.50 / $5.39 / $8.61	Facility		$3.50	$5.39	$8.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.50 / $5.39	Professional		$3.50	$3.50	$5.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.48 / $11.86 / $17.14	Facility		$5.48	$11.86	$17.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.74 / $6.61 / $8.26	Professional		$2.74	$6.61	$8.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.01 / $19.29	Professional		$5.89	$7.01	$19.29
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $64.34 / $77.30 / $248.77	Facility		$64.34	$77.30	$248.77
United Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $4.20 / $9.78	Professional		$3.15	$4.20	$9.78