Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $29.51 / $114.82	Facility		$12.59	$29.51	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $26.92	Professional		$8.91	$12.02	$26.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.41 / $21.38	Professional		$6.03	$7.41	$21.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $16.60 / $26.92	Facility		$11.75	$16.60	$26.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $10.47 / $23.44	Professional		$5.89	$10.47	$23.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $9.33 / $20.42	Facility		$9.12	$9.33	$20.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $14.13	Professional		$9.12	$9.12	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $28.18 / $43.65	Facility		$14.13	$28.18	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $13.80 / $21.88	Professional		$6.46	$13.80	$21.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $21.38 / $41.69	Professional		$15.49	$21.38	$41.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $1,737.80	Facility		$1,000.00	$1,288.25	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $12.59 / $14.79	Facility		$7.08	$12.59	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $8.71 / $25.70	Professional		$5.89	$8.71	$25.70