Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.40 / $85.26 / $174.00	Facility		$12.40	$85.26	$174.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $9.00 / $12.34	Professional		$7.64	$9.00	$12.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $6.20 / $7.03	Professional		$6.20	$6.20	$7.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.45 / $13.19 / $35.74	Facility		$7.45	$13.19	$35.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.82 / $5.09 / $20.69	Professional		$3.82	$5.09	$20.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.71 / $10.33 / $16.53	Facility		$6.71	$10.33	$16.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $6.71 / $10.33	Professional		$6.71	$6.71	$10.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.32 / $22.73 / $31.86	Facility		$10.32	$22.73	$31.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $12.39 / $15.49	Professional		$6.42	$12.39	$15.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $13.43 / $37.11	Professional		$11.29	$13.43	$37.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $302.57 / $363.44 / $458.46	Facility		$302.57	$363.44	$458.46
United Facility/Professional Professional Modifier Low / Median / High Price $5.68 / $7.54 / $14.43	Professional		$5.68	$7.54	$14.43