Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.56 / $63.79 / $501.00	Facility		$47.56	$63.79	$501.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.49 / $63.79 / $70.16	Professional		$61.49	$63.79	$70.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $105.00 / $105.00	Professional		$105.00	$105.00	$105.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.05 / $69.48 / $69.48	Facility		$64.05	$69.48	$69.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.61 / $15.42 / $64.05	Professional		$14.61	$15.42	$64.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.33 / $67.25 / $131.15	Facility		$65.33	$67.25	$131.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.33 / $65.33 / $65.33	Facility		$65.33	$65.33	$65.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $65.33 / $65.33	Professional		$65.33	$65.33	$65.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $115.00 / $178.00	Professional		$65.33	$115.00	$178.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $109.61 / $119.62	Professional		$78.29	$109.61	$119.62
United Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $64.05 / $76.86	Professional		$64.05	$64.05	$76.86