Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.73 / $12.16 / $1,110.82	Facility		$9.73	$12.16	$1,110.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.73 / $10.68 / $13.45	Professional		$9.73	$10.68	$13.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $19.82 / $19.82	Professional		$10.67	$19.82	$19.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $17.09 / $39.20	Facility		$10.68	$17.09	$39.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $10.68 / $11.53	Professional		$10.68	$10.68	$11.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $10.68 / $20.93	Facility		$10.68	$10.68	$20.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $10.68 / $10.68	Professional		$10.68	$10.68	$10.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.07 / $10.07 / $10.68	Facility		$10.07	$10.07	$10.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $10.68 / $13.60	Professional		$10.68	$10.68	$13.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $20.18 / $66.25	Professional		$11.27	$20.18	$66.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $19.75 / $49.00	Professional		$10.24	$19.75	$49.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $11.26 / $14.22	Professional		$10.68	$11.26	$14.22