Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $139.26 / $798.00	Facility		$1.75	$139.26	$798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.75 / $3.20	Professional		$1.48	$1.75	$3.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $2.21 / $2.60	Professional		$1.64	$2.21	$2.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $1.90 / $135.00	Facility		$1.75	$1.90	$135.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.75 / $3.95	Professional		$1.75	$1.75	$3.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $1.75 / $2.80	Facility		$1.75	$1.75	$2.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.75 / $2.80	Professional		$1.40	$1.75	$2.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.65 / $1.65 / $1.75	Facility		$1.65	$1.65	$1.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.75 / $6.10	Professional		$1.75	$1.75	$6.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.97 / $2.63 / $35.86	Professional		$1.97	$2.63	$35.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $3.13 / $9.10	Professional		$1.79	$3.13	$9.10
United Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.84 / $2.36	Professional		$1.75	$1.84	$2.36