Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.11 / $44.56 / $65.87	Facility		$17.11	$44.56	$65.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $25.92 / $69.31	Professional		$17.11	$25.92	$69.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $27.45 / $32.47	Professional		$17.32	$27.45	$32.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.80 / $50.80 / $50.80	Facility		$50.80	$50.80	$50.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $35.24 / $61.89	Professional		$15.74	$35.24	$61.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.34 / $24.62 / $33.96	Facility		$20.34	$24.62	$33.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $21.10 / $23.80	Professional		$17.80	$21.10	$23.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.74 / $37.99 / $67.47	Professional		$22.74	$37.99	$67.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $23.77 / $110.79	Professional		$15.74	$23.77	$110.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $28.19 / $35.03	Professional		$17.10	$28.19	$35.03
United Facility/Professional Professional Modifier Low / Median / High Price $24.90 / $34.86 / $54.28	Professional		$24.90	$34.86	$54.28