Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.40 / $39.71 / $109.71	Facility		$22.40	$39.71	$109.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $30.30 / $54.76	Professional		$21.15	$30.30	$54.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.71 / $59.71 / $59.71	Professional		$59.71	$59.71	$59.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $35.20 / $41.69	Facility		$19.80	$35.20	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $13.54 / $55.00	Professional		$13.54	$13.54	$55.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.64 / $45.33 / $94.92	Facility		$39.64	$45.33	$94.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.60 / $52.43 / $73.33	Facility		$26.60	$52.43	$73.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.66 / $26.40 / $102.05	Professional		$13.66	$26.40	$102.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.03 / $59.39 / $263.04	Professional		$33.03	$59.39	$263.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $53.62 / $61.11	Professional		$32.22	$53.62	$61.11
United Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $32.99 / $74.30	Professional		$20.57	$32.99	$74.30