Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.07 / $38.00 / $40.29	Facility		$17.07	$38.00	$40.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.37 / $36.46 / $54.91	Professional		$16.37	$36.46	$54.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $37.27 / $52.56	Professional		$33.52	$37.27	$52.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $30.41 / $66.47	Professional		$15.65	$30.41	$66.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.89 / $19.07 / $27.49	Facility		$12.89	$19.07	$27.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $43.33 / $56.11	Professional		$27.50	$43.33	$56.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $44.00 / $57.87	Professional		$26.00	$44.00	$57.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.04 / $35.88 / $113.09	Professional		$18.04	$35.88	$113.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.40 / $45.54 / $82.37	Professional		$30.40	$45.54	$82.37
United Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $52.15 / $104.86	Professional		$37.36	$52.15	$104.86