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 / $19.19 / $30.73	Professional		$17.97	$19.19	$30.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.85 / $23.87 / $23.87	Professional		$23.85	$23.87	$23.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.29 / $22.48 / $34.88	Professional		$16.29	$22.48	$34.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $22.41 / $37.21	Facility		$16.71	$22.41	$37.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $22.41 / $26.63	Professional		$22.41	$22.41	$26.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $24.48 / $45.00	Professional		$20.00	$24.48	$45.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.21 / $43.71 / $136.00	Professional		$34.21	$43.71	$136.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $12.13 / $18.50	Professional		$10.86	$12.13	$18.50
United Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $52.47 / $115.94	Professional		$33.75	$52.47	$115.94