Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.10 / $16.10 / $38.22	Facility		$16.10	$16.10	$38.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $20.32 / $36.31	Professional		$14.53	$20.32	$36.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $25.08 / $53.48	Professional		$17.50	$25.08	$53.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.89 / $47.45 / $124.38	Facility		$33.89	$47.45	$124.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $28.18 / $54.11	Professional		$17.82	$28.18	$54.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.78 / $28.81 / $62.70	Facility		$26.78	$28.81	$62.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.81 / $28.81 / $28.81	Professional		$28.81	$28.81	$28.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.18 / $22.18 / $31.55	Facility		$22.18	$22.18	$31.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $22.18 / $37.11	Professional		$16.19	$22.18	$37.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $33.89 / $47.26	Professional		$25.76	$33.89	$47.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.03 / $57.61 / $63.95	Professional		$22.03	$57.61	$63.95
United Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $16.85 / $29.33	Professional		$11.27	$16.85	$29.33