Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $21.88 / $144.54	Facility		$11.75	$21.88	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $28.84	Professional		$10.00	$12.88	$28.84
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $11.48 / $12.02 / $17.38	Professional	CQ	$11.48	$12.02	$17.38
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $16.98 / $16.98 / $16.98	Professional	CQ	$16.98	$16.98	$16.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $30.90	Professional		$15.14	$18.20	$30.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $23.99 / $28.84	Facility		$16.60	$23.99	$28.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.50 / $39.81	Professional		$16.98	$19.50	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $64.57 / $79.43	Facility		$38.90	$64.57	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $19.50 / $32.36	Professional		$8.91	$19.50	$32.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.89 / $41.69	Professional		$15.14	$20.89	$41.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $23.44 / $25.12	Professional		$21.88	$23.44	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.78 / $26.30	Professional		$14.13	$17.78	$26.30