Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $38.02 / $93.33	Facility		$18.20	$38.02	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.20 / $36.31	Professional		$12.88	$18.20	$36.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $25.70 / $34.67	Facility		$13.18	$25.70	$34.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $17.38 / $42.66	Professional		$10.00	$17.38	$42.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $39.81 / $60.26	Facility		$19.95	$39.81	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $23.99 / $53.70	Professional		$10.00	$23.99	$53.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $28.18 / $154.88	Professional		$18.20	$28.18	$154.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $24.55 / $42.66	Professional		$19.95	$24.55	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $18.20 / $23.99	Facility		$11.48	$18.20	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $13.18 / $28.18	Professional		$8.51	$13.18	$28.18