Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.40 / $27.62 / $957.60	Facility		$27.40	$27.62	$957.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $29.92 / $37.89	Professional		$18.82	$29.92	$37.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.34 / $80.34 / $80.34	Professional		$80.34	$80.34	$80.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.76 / $40.65 / $89.63	Professional		$22.76	$40.65	$89.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.94 / $60.58 / $69.23	Facility		$15.94	$60.58	$69.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.99 / $25.99 / $50.71	Facility		$25.99	$25.99	$50.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $22.09 / $49.28	Professional		$22.09	$22.09	$49.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.27 / $43.27 / $57.18	Professional		$43.27	$43.27	$57.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,750.00 / $1,750.00 / $1,750.00	Facility		$1,750.00	$1,750.00	$1,750.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $15.30	Professional		$15.30	$15.30	$15.30
United Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $21.73	Professional		$15.00	$15.00	$21.73