Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.07 / $218.78 / $562.34	Facility		$1.07	$218.78	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $2.14 / $54.95	Professional		$1.12	$2.14	$54.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.65 / $0.71 / $3.55	Facility		$0.65	$0.71	$3.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.65 / $0.71	Professional		$0.65	$0.65	$0.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.78 / $2.29	Facility		$1.23	$1.78	$2.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $1.95	Professional		$1.23	$1.23	$1.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.62 / $0.62 / $0.65	Facility		$0.62	$0.62	$0.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.65 / $0.87	Professional		$0.65	$0.65	$0.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.98 / $38.02	Professional		$0.65	$0.98	$38.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $1.38 / $66.07	Professional		$0.65	$1.38	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $3.47 / $4.90	Facility		$1.86	$3.47	$4.90
United Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.69 / $1.86	Professional		$0.65	$0.69	$1.86