Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $41.98 / $45.17	Facility		$22.10	$41.98	$45.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $39.86 / $56.03	Professional		$21.51	$39.86	$56.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $42.35 / $58.46	Professional		$38.29	$42.35	$58.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $37.97 / $71.93	Professional		$20.39	$37.97	$71.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.07 / $25.10 / $36.42	Facility		$17.07	$25.10	$36.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $49.36 / $63.95	Professional		$31.33	$49.36	$63.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $48.00 / $63.67	Professional		$29.00	$48.00	$63.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $40.81 / $126.15	Professional		$23.90	$40.81	$126.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.13 / $49.47 / $90.14	Professional		$39.13	$49.47	$90.14
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.63 / $118.44	Professional		$42.66	$57.63	$118.44