Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $42.66 / $51.29	Facility		$30.90	$42.66	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $52.48 / $109.65	Professional		$32.36	$52.48	$109.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $70.79 / $104.71	Professional		$40.74	$70.79	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $57.54 / $81.28	Professional		$40.74	$57.54	$81.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $45.71 / $64.57	Facility		$29.51	$45.71	$64.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $72.44 / $125.89	Professional		$43.65	$72.44	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $67.61 / $117.49	Professional		$43.65	$67.61	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $63.10 / $154.88	Professional		$36.31	$63.10	$154.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $66.07 / $114.82	Professional		$41.69	$66.07	$114.82