Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.33 / $13.33 / $13.33	Facility		$13.33	$13.33	$13.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $15.00 / $214.00	Professional		$13.33	$15.00	$214.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.96 / $22.96 / $22.96	Professional		$22.96	$22.96	$22.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $15.14 / $29.78	Professional		$12.75	$15.14	$29.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.02 / $22.57 / $47.70	Facility		$17.02	$22.57	$47.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.13 / $17.13 / $34.14	Professional		$17.13	$17.13	$34.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $16.00 / $40.00	Professional		$10.50	$16.00	$40.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.27 / $41.23 / $88.00	Professional		$32.27	$41.23	$88.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $10.83 / $35.36	Professional		$9.69	$10.83	$35.36
United Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $45.18 / $86.72	Professional		$32.47	$45.18	$86.72