Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.50 / $15.50 / $25.52	Facility		$15.50	$15.50	$25.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.29 / $43.51	Professional		$15.14	$21.29	$43.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $45.13 / $74.97	Professional		$18.23	$45.13	$74.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $24.31 / $69.50	Professional		$19.59	$24.31	$69.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.31 / $34.03 / $38.90	Facility		$24.31	$34.03	$38.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.31 / $32.82 / $56.36	Professional		$24.31	$32.82	$56.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.49 / $28.49 / $28.49	Facility		$28.49	$28.49	$28.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $9.92 / $33.29	Professional		$9.92	$9.92	$33.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.31 / $24.31 / $143.96	Professional		$24.31	$24.31	$143.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.80 / $31.00 / $44.97	Professional		$24.80	$31.00	$44.97
United Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $12.13 / $31.02	Professional		$8.09	$12.13	$31.02