Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $29.22 / $90.00	Facility		$7.59	$29.22	$90.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $76.56 / $76.56 / $76.56	Facility	25	$76.56	$76.56	$76.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.37 / $8.51 / $23.25	Professional		$7.37	$8.51	$23.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $14.48 / $18.38	Professional		$8.38	$14.48	$18.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.03 / $16.03 / $16.03	Facility		$16.03	$16.03	$16.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $13.40 / $24.74	Professional		$7.02	$13.40	$24.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $10.99 / $15.16	Facility		$9.02	$10.99	$15.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.82 / $9.38 / $10.58	Professional		$7.82	$9.38	$10.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.60 / $12.51 / $22.74	Professional		$8.60	$12.51	$22.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.61 / $30.05	Professional		$7.41	$10.61	$30.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $12.58 / $15.76	Professional		$7.79	$12.58	$15.76
United Facility/Professional Professional Modifier Low / Median / High Price $8.18 / $11.10 / $18.23	Professional		$8.18	$11.10	$18.23