Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $16.64 / $44.64	Facility		$16.64	$16.64	$44.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $22.92 / $31.19	Professional		$16.64	$22.92	$31.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.57 / $55.40 / $145.22	Facility		$39.57	$55.40	$145.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.12 / $31.88 / $79.19	Professional		$3.12	$31.88	$79.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.63 / $55.40 / $77.56	Facility		$33.63	$55.40	$77.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.63 / $33.63 / $45.51	Professional		$33.63	$33.63	$45.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $25.17 / $29.37	Facility		$25.17	$25.17	$29.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $21.39 / $36.34	Professional		$21.39	$21.39	$36.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.26 / $39.57 / $63.31	Professional		$25.26	$39.57	$63.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $56.40 / $78.00	Professional		$49.10	$56.40	$78.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $19.73 / $32.90	Professional		$13.16	$19.73	$32.90