Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.48 / $431.50 / $3,346.50	Facility		$2.48	$431.50	$3,346.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.67 / $2.79 / $5.09	Professional		$1.67	$2.79	$5.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $2.95 / $2.95	Professional		$1.59	$2.95	$2.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.79 / $4.54 / $10.24	Facility		$2.79	$4.54	$10.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.79 / $3.01	Professional		$2.79	$2.79	$3.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.23 / $2.79 / $4.46	Facility		$2.23	$2.79	$4.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $2.79 / $4.46	Professional		$1.59	$2.79	$4.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.63 / $2.79	Facility		$2.63	$2.63	$2.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.79 / $3.55	Professional		$2.79	$2.79	$3.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $44.86 / $95.68	Professional		$2.22	$44.86	$95.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $4.78 / $86.00	Professional		$2.79	$4.78	$86.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.96 / $3.71	Professional		$2.79	$2.96	$3.71