Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.32 / $18.32 / $43.52	Facility		$18.32	$18.32	$43.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $23.14 / $43.52	Professional		$17.89	$23.14	$43.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $55.93 / $71.61	Professional		$10.00	$55.93	$71.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $54.00 / $141.55	Facility		$38.57	$54.00	$141.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.75 / $32.58 / $61.59	Professional		$20.75	$32.58	$61.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.81 / $32.78 / $71.34	Facility		$31.81	$32.78	$71.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.78 / $32.78 / $32.78	Professional		$32.78	$32.78	$32.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.80 / $24.80 / $24.80	Facility		$24.80	$24.80	$24.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $24.30 / $44.63	Professional		$18.10	$24.30	$44.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.31 / $38.57 / $58.00	Professional		$29.31	$38.57	$58.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.69 / $65.56 / $72.78	Professional		$47.69	$65.56	$72.78
United Facility/Professional Professional Modifier Low / Median / High Price $12.83 / $19.25 / $38.38	Professional		$12.83	$19.25	$38.38