Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.46 / $22.92 / $42.46	Facility		$18.46	$22.92	$42.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $40.19 / $67.31	Professional		$17.87	$40.19	$67.31
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $63.31 / $63.31 / $63.31	Professional	25	$63.31	$63.31	$63.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $60.94 / $80.45	Professional		$39.83	$60.94	$80.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $18.14 / $36.28	Facility		$18.14	$18.14	$36.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $26.75 / $69.81	Professional		$16.52	$26.75	$69.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.77 / $23.85 / $32.45	Facility		$18.77	$23.85	$32.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $50.76 / $64.98	Professional		$39.83	$50.76	$64.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.21 / $24.21 / $24.21	Facility		$24.21	$24.21	$24.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $39.88 / $91.87	Professional		$39.88	$39.88	$91.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $43.33 / $69.84	Professional		$17.54	$43.33	$69.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $39.79 / $76.18	Professional		$16.89	$39.79	$76.18
United Facility/Professional Professional Modifier Low / Median / High Price $38.38 / $50.04 / $85.66	Professional		$38.38	$50.04	$85.66