Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $426.58 / $2,951.21	Facility		$2.69	$426.58	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.69 / $81.28	Professional		$2.00	$2.69	$81.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.82 / $5.13	Professional		$2.69	$2.82	$5.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $5.01 / $14.79	Facility		$2.69	$5.01	$14.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $2.75	Professional		$2.69	$2.69	$2.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $2.82 / $4.17	Facility		$2.82	$2.82	$4.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $2.95 / $4.47	Professional		$2.82	$2.95	$4.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $2.51 / $2.69	Facility		$2.51	$2.51	$2.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $3.02	Professional		$2.69	$2.69	$3.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.89 / $93.33	Professional		$2.69	$3.89	$93.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $4.79 / $100.00	Professional		$2.24	$4.79	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $4.90 / $6.92	Facility		$2.63	$4.90	$6.92
United Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $2.69 / $3.47	Professional		$2.51	$2.69	$3.47