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 / $19.47 / $155.19	Professional		$17.97	$19.47	$155.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $22.96 / $22.96	Professional		$21.25	$22.96	$22.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $20.71 / $37.65	Professional		$15.90	$20.71	$37.65
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 $22.41 / $22.41 / $34.14	Professional		$22.41	$22.41	$34.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $25.92 / $45.00	Professional		$20.00	$25.92	$45.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.27 / $41.23 / $136.00	Professional		$32.27	$41.23	$136.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $14.19 / $41.62	Professional		$12.71	$14.19	$41.62
United Facility/Professional Professional Modifier Low / Median / High Price $32.02 / $47.94 / $92.59	Professional		$32.02	$47.94	$92.59