Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $26.92 / $100.00	Facility		$19.05	$26.92	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $30.90	Professional		$19.05	$23.99	$30.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $32.36 / $38.90	Facility		$21.38	$32.36	$38.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $29.51	Professional		$14.45	$14.45	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $64.57 / $89.13	Facility		$45.71	$64.57	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $154.88	Professional		$19.05	$19.05	$154.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $138.04	Professional		$26.92	$38.90	$138.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $34.67 / $52.48	Professional		$28.84	$34.67	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $29.51	Facility		$26.92	$26.92	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.78 / $40.74	Professional		$12.30	$17.78	$40.74