Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.81 / $56.24 / $107.07	Facility		$27.81	$56.24	$107.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $32.71 / $70.43	Professional		$27.73	$32.71	$70.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.98 / $44.75 / $66.70	Professional		$27.98	$44.75	$66.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $50.34 / $88.62	Professional		$25.45	$50.34	$88.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.92 / $39.77 / $54.86	Facility		$32.92	$39.77	$54.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $33.89 / $38.22	Professional		$28.23	$33.89	$38.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.66 / $49.70 / $90.69	Professional		$31.66	$49.70	$90.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $36.76 / $160.00	Professional		$25.45	$36.76	$160.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.63 / $55.22 / $68.70	Professional		$46.63	$55.22	$68.70
United Facility/Professional Professional Modifier Low / Median / High Price $31.14 / $42.59 / $75.59	Professional		$31.14	$42.59	$75.59