Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $95.81 / $299.08	Facility		$3.02	$95.81	$299.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $3.04 / $36.79	Professional		$2.86	$3.04	$36.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.72 / $5.05	Professional		$2.54	$2.72	$5.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.28 / $20.00	Facility		$3.02	$3.28	$20.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $6.16	Professional		$3.02	$3.02	$6.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $4.83	Facility		$3.02	$3.02	$4.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $3.02 / $4.83	Professional		$2.72	$3.02	$4.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.85 / $2.85 / $3.02	Facility		$2.85	$2.85	$3.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $8.40	Professional		$3.02	$3.02	$8.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $4.26 / $15.02	Professional		$2.87	$4.26	$15.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.13 / $13.04	Professional		$3.02	$5.13	$13.04
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.20 / $4.08	Professional		$3.02	$3.20	$4.08