Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $100.00 / $100.00	Facility		$23.99	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.88 / $85.11	Professional		$23.44	$33.88	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.90 / $46.77	Professional		$23.44	$30.90	$46.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $93.33 / $93.33	Facility		$64.57	$93.33	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $26.92 / $44.67	Professional		$24.55	$26.92	$44.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $35.48 / $43.65	Facility		$29.51	$35.48	$43.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.20 / $56.23	Professional		$23.44	$30.20	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $39.81 / $70.79	Professional		$29.51	$39.81	$70.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.20 / $104.71	Professional		$22.39	$30.20	$104.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $45.71 / $57.54	Professional		$24.55	$45.71	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $35.48 / $61.66	Professional		$25.70	$35.48	$61.66