Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.23 / $21.83 / $78.48	Facility		$6.23	$21.83	$78.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.54 / $8.73	Professional		$3.63	$4.54	$8.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.91 / $2.91 / $3.49	Professional		$2.91	$2.91	$3.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.20 / $6.73 / $17.73	Facility		$4.20	$6.73	$17.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $3.49 / $9.27	Professional		$1.74	$3.49	$9.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.78 / $5.82 / $9.31	Facility		$3.78	$5.82	$9.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $3.78 / $5.82	Professional		$3.78	$3.78	$5.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.35 / $12.80 / $17.78	Facility		$5.35	$12.80	$17.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $6.61 / $8.77	Professional		$2.60	$6.61	$8.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.82 / $8.77 / $14.88	Professional		$5.82	$8.77	$14.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $503.75 / $1,261.90 / $1,274.00	Facility		$503.75	$1,261.90	$1,274.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.49 / $5.86 / $7.21	Professional		$3.49	$5.86	$7.21