Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.29 / $94.59 / $264.23	Facility		$5.29	$94.59	$264.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $5.30 / $7.87	Professional		$5.29	$5.30	$7.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $9.82 / $9.82	Professional		$5.29	$9.82	$9.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.01 / $5.75 / $9.27	Facility		$1.01	$5.75	$9.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $5.30 / $10.60	Professional		$5.30	$5.30	$10.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.30 / $5.30 / $8.48	Facility		$5.30	$5.30	$8.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $5.30 / $8.48	Professional		$5.29	$5.30	$8.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $5.30	Facility		$5.00	$5.00	$5.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $5.30 / $6.45	Professional		$5.30	$5.30	$6.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $4.83 / $8.85	Professional		$3.62	$4.83	$8.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $7.15 / $24.28	Professional		$2.10	$7.15	$24.28
United Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $5.62 / $6.66	Professional		$5.30	$5.62	$6.66