Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.97 / $17.97 / $17.97	Facility		$17.97	$17.97	$17.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $19.43 / $45.58	Professional		$17.97	$19.43	$45.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.27 / $33.27	Professional		$19.05	$33.27	$33.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.13 / $22.53 / $48.57	Professional		$17.13	$22.53	$48.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $33.11 / $70.06	Facility		$18.57	$33.11	$70.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $18.68 / $50.17	Professional		$18.68	$18.68	$50.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $28.00 / $63.15	Professional		$23.00	$28.00	$63.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.47 / $60.65 / $139.00	Professional		$47.47	$60.65	$139.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $16.14 / $42.47	Professional		$14.71	$16.14	$42.47
United Facility/Professional Professional Modifier Low / Median / High Price $44.41 / $71.05 / $135.99	Professional		$44.41	$71.05	$135.99