Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.21 / $22.54 / $48.38	Facility		$22.21	$22.54	$48.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $22.54 / $26.87	Professional		$22.21	$22.54	$26.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $41.85 / $41.85	Professional		$22.21	$41.85	$41.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.54 / $36.06 / $82.72	Facility		$22.54	$36.06	$82.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $22.99	Professional		$22.54	$22.54	$22.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.54 / $22.54 / $44.18	Facility		$22.54	$22.54	$44.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $22.54	Professional		$22.54	$22.54	$22.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $21.26 / $22.54	Facility		$21.26	$21.26	$22.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $26.10	Professional		$22.54	$22.54	$26.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $28.03 / $49.59	Professional		$21.56	$28.03	$49.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.67 / $38.32 / $46.43	Professional		$23.67	$38.32	$46.43
United Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $23.89 / $28.18	Professional		$22.54	$23.89	$28.18