Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $51.29 / $120.23	Facility		$23.44	$51.29	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $23.44 / $38.90	Professional		$18.62	$23.44	$38.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.44 / $29.51	Professional		$18.20	$23.44	$29.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $26.92 / $79.43	Facility		$22.91	$26.92	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $21.88 / $25.70	Professional		$14.79	$21.88	$25.70
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $154.88 / $204.17	Facility		$131.83	$154.88	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $43.65 / $61.66	Facility		$22.39	$43.65	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $37.15	Professional		$20.89	$25.12	$37.15