Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $41.69 / $117.49	Facility		$23.44	$41.69	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.84 / $69.18	Professional		$21.38	$28.84	$69.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $57.54	Professional		$44.67	$44.67	$57.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $35.48 / $42.66	Facility		$19.95	$35.48	$42.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $28.84 / $50.12	Professional		$13.49	$28.84	$50.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $40.74 / $42.66	Professional		$38.02	$40.74	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $57.54 / $74.13	Facility		$26.92	$57.54	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $26.30 / $91.20	Professional		$13.80	$26.30	$91.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $263.03	Professional		$30.20	$50.12	$263.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $57.54 / $72.44	Professional		$32.36	$57.54	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $29.51 / $34.67	Facility		$26.30	$29.51	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.11 / $69.18	Professional		$19.95	$33.11	$69.18