Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $29.70 / $9,434.32	Facility		$10.54	$29.70	$9,434.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.65 / $18.48	Professional		$10.54	$10.65	$18.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $22.50 / $22.50	Professional		$13.06	$22.50	$22.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $16.86 / $38.68	Facility		$10.54	$16.86	$38.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $10.75	Professional		$10.54	$10.54	$10.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $10.54 / $19.39	Facility		$10.54	$10.54	$19.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $11.07 / $16.86	Professional		$10.54	$11.07	$16.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $9.94 / $10.54	Facility		$9.94	$9.94	$10.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $13.54	Professional		$10.54	$10.54	$13.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $13.54 / $30.56	Professional		$12.34	$13.54	$30.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $16.80 / $27.40	Professional		$10.54	$16.80	$27.40
United Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $11.17 / $13.49	Professional		$10.54	$11.17	$13.49