Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.78 / $41.59 / $82.03	Facility		$21.78	$41.59	$82.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $41.59 / $62.13	Professional		$21.57	$41.59	$62.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $51.36 / $93.23	Professional		$25.15	$51.36	$93.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.69 / $56.69 / $56.69	Facility		$56.69	$56.69	$56.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $20.99	Professional		$20.99	$20.99	$20.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $54.78 / $103.28	Professional		$26.79	$54.78	$103.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.31 / $55.69 / $246.00	Professional		$24.31	$55.69	$246.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $46.07 / $88.57	Professional		$21.00	$46.07	$88.57
United Facility/Professional Professional Modifier Low / Median / High Price $40.51 / $64.34 / $108.32	Professional		$40.51	$64.34	$108.32