Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $27.54 / $95.50	Facility		$8.13	$27.54	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.13 / $15.14	Professional		$7.94	$8.13	$15.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $12.88	Professional		$8.13	$8.13	$12.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $14.45 / $44.67	Facility		$8.13	$14.45	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $16.22	Professional		$8.13	$8.13	$16.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $12.30	Facility		$8.13	$8.13	$12.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.71 / $13.18	Professional		$8.13	$8.71	$13.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $7.76 / $8.13	Facility		$7.76	$7.76	$8.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $10.47	Professional		$8.13	$8.13	$10.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $8.13 / $15.85	Professional		$4.90	$8.13	$15.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.13 / $11.22	Professional		$7.24	$8.13	$11.22
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $15.85 / $22.39	Facility		$8.71	$15.85	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.71 / $10.96	Professional		$8.13	$8.71	$10.96