Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.64 / $76.72 / $153.66	Facility		$20.64	$76.72	$153.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $23.58 / $32.92	Professional		$19.10	$23.58	$32.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.41 / $24.41 / $24.41	Professional		$24.41	$24.41	$24.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.61 / $50.26 / $50.26	Professional		$25.61	$50.26	$50.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.55 / $63.55 / $91.80	Facility		$63.55	$63.55	$91.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.29 / $30.29 / $30.29	Facility		$30.29	$30.29	$30.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $29.81 / $46.60	Professional		$22.11	$29.81	$46.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.43 / $48.50 / $103.44	Professional		$28.43	$48.50	$103.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.38 / $39.38 / $44.82	Professional		$39.38	$39.38	$44.82
United Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $22.58 / $40.85	Professional		$14.98	$22.58	$40.85