Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.73 / $724.96 / $9,981.60	Facility		$3.73	$724.96	$9,981.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.92 / $4.36 / $7.97	Professional		$3.92	$4.36	$7.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $6.93 / $6.93	Professional		$6.60	$6.93	$6.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $6.96 / $15.96	Facility		$4.34	$6.96	$15.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.36 / $7.84	Professional		$4.36	$4.36	$7.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.36 / $4.36 / $6.98	Facility		$4.36	$4.36	$6.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $4.36 / $6.98	Professional		$3.73	$4.36	$6.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.11 / $4.11 / $4.36	Facility		$4.11	$4.11	$4.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.36 / $15.00	Professional		$4.36	$4.36	$15.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.27 / $65.79 / $144.66	Professional		$5.27	$65.79	$144.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $7.77 / $112.60	Professional		$4.36	$7.77	$112.60
United Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.62 / $5.58	Professional		$4.36	$4.62	$5.58