Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $484.72 / $775.26	Facility		$23.88	$484.72	$775.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $16.14 / $121.79	Professional		$11.74	$16.14	$121.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $26.83 / $28.26	Professional		$22.81	$26.83	$28.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $17.71 / $32.26	Professional		$12.26	$17.71	$32.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $17.92 / $17.92	Facility		$14.12	$17.92	$17.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $14.12 / $14.12	Professional		$14.12	$14.12	$14.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.71 / $17.71 / $17.71	Facility		$17.71	$17.71	$17.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $13.99 / $32.27	Professional		$13.99	$13.99	$32.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.22 / $15.22 / $38.35	Professional		$15.22	$15.22	$38.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.98 / $26.01 / $48.50	Professional		$15.98	$26.01	$48.50
United Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $19.48 / $33.89	Professional		$13.64	$19.48	$33.89