Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.75 / $32.75 / $67.84	Facility		$32.75	$32.75	$67.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.72 / $34.68 / $43.09	Professional		$26.72	$34.68	$43.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.98 / $104.97 / $104.97	Professional		$81.98	$104.97	$104.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.76 / $48.11 / $107.15	Professional		$30.76	$48.11	$107.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.78 / $69.28 / $84.81	Facility		$47.78	$69.28	$84.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.78 / $64.50 / $110.78	Professional		$47.78	$64.50	$110.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.75 / $33.75 / $55.82	Facility		$33.75	$33.75	$55.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $28.69 / $73.55	Professional		$28.69	$28.69	$73.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.78 / $47.78 / $76.52	Professional		$47.78	$47.78	$76.52
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,123.17 / $2,606.40 / $2,932.00	Facility		$2,123.17	$2,606.40	$2,932.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $23.40 / $23.40	Professional		$23.40	$23.40	$23.40
United Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $28.67 / $66.36	Professional		$17.14	$28.67	$66.36