Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $22.39 / $53.70	Facility		$13.18	$22.39	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $18.20	Professional		$10.00	$12.02	$18.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $7.94 / $10.00	Professional		$6.76	$7.94	$10.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $17.38 / $21.38	Facility		$10.47	$17.38	$21.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $11.75 / $25.12	Professional		$6.46	$11.75	$25.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $31.62 / $48.98	Facility		$16.22	$31.62	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $19.50 / $23.99	Professional		$7.41	$19.50	$23.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $23.99 / $41.69	Professional		$17.78	$23.99	$41.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,318.26 / $1,659.59	Facility		$794.33	$1,318.26	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $14.45 / $16.22	Facility		$7.24	$14.45	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.55 / $25.70	Professional		$6.76	$9.55	$25.70