Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $77.62 / $112.20	Facility		$26.92	$77.62	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $36.31 / $93.33	Professional		$27.54	$36.31	$93.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $37.15 / $54.95	Professional		$26.30	$37.15	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $57.54 / $83.18	Professional		$32.36	$57.54	$83.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $40.74 / $56.23	Facility		$33.88	$40.74	$56.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $34.67 / $66.07	Professional		$26.92	$34.67	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $50.12 / $91.20	Professional		$34.67	$50.12	$91.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $165.96	Professional		$26.92	$38.90	$165.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $58.88 / $75.86	Professional		$51.29	$58.88	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $40.74 / $69.18	Professional		$29.51	$40.74	$69.18