Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,000.00 / $8,709.64	Facility		$338.84	$1,000.00	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $91.20 / $446.68	Professional		$1.45	$91.20	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $54.95 / $64.57	Professional		$0.63	$54.95	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.65 / $1.23 / $3.55	Facility		$0.65	$1.23	$3.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.65 / $0.66	Professional		$0.65	$0.65	$0.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $0.63 / $0.95	Facility		$0.63	$0.63	$0.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.66 / $1.00	Professional		$0.63	$0.66	$1.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.62 / $0.62 / $0.63	Facility		$0.62	$0.62	$0.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.63 / $0.83	Professional		$0.63	$0.63	$0.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.89 / $2.00	Professional		$0.65	$0.89	$2.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $1.00 / $13.49	Professional		$0.56	$1.00	$13.49
United Facility/Professional Facility Modifier Low / Median / High Price $0.65 / $1.20 / $1.70	Facility		$0.65	$1.20	$1.70
United Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $0.65 / $0.87	Professional		$0.62	$0.65	$0.87