Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $596.40 / $5,064.80	Facility		$6.73	$596.40	$5,064.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.79 / $9.75	Professional		$6.73	$6.79	$9.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $10.89 / $12.81	Professional		$10.89	$10.89	$12.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $10.96 / $24.70	Facility		$6.73	$10.96	$24.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $7.26	Professional		$6.73	$6.73	$7.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $6.73 / $11.17	Facility		$6.73	$6.73	$11.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.98 / $10.77	Professional		$6.73	$6.98	$10.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.35 / $6.35 / $6.73	Facility		$6.35	$6.35	$6.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $8.57	Professional		$6.73	$6.73	$8.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.66 / $84.96 / $109.64	Professional		$6.66	$84.96	$109.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $11.44 / $148.40	Professional		$6.73	$11.44	$148.40
United Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $7.00 / $8.96	Professional		$6.73	$7.00	$8.96