Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.67 / $9.67 / $15.93	Facility		$9.67	$9.67	$15.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.31 / $12.15 / $27.82	Professional		$9.31	$12.15	$27.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $17.00 / $28.22	Professional		$7.91	$17.00	$28.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $15.20 / $52.87	Professional		$12.23	$15.20	$52.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.20 / $21.28 / $24.32	Facility		$15.20	$21.28	$24.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $20.52 / $35.25	Professional		$15.20	$20.52	$35.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $17.80 / $17.80	Facility		$17.80	$17.80	$17.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $6.20 / $20.79	Professional		$6.20	$6.20	$20.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $15.20 / $122.64	Professional		$15.20	$15.20	$122.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $19.38 / $28.12	Professional		$15.50	$19.38	$28.12
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $7.57 / $23.01	Professional		$5.05	$7.57	$23.01