Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $54.95 / $85.11	Facility		$19.05	$54.95	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $37.15 / $85.11	Professional		$17.78	$37.15	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $21.38 / $33.11	Professional		$15.49	$21.38	$33.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $41.69 / $56.23	Professional		$21.88	$41.69	$56.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $25.70 / $34.67	Facility		$20.89	$25.70	$34.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.88 / $40.74	Professional		$16.98	$21.88	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $37.15 / $67.61	Professional		$23.99	$37.15	$67.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.44 / $109.65	Professional		$16.22	$23.44	$109.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $32.36 / $40.74	Professional		$17.78	$32.36	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.88 / $53.70	Professional		$22.91	$33.88	$53.70