Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.29 / $30.29 / $49.82	Facility		$30.29	$30.29	$49.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $33.08 / $58.33	Professional		$15.18	$33.08	$58.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $102.20 / $102.20	Professional		$26.78	$102.20	$102.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $47.51 / $113.76	Professional		$30.59	$47.51	$113.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.51 / $68.89 / $76.02	Facility		$66.51	$68.89	$76.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.68 / $55.68 / $55.68	Facility		$55.68	$55.68	$55.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $64.73	Professional		$19.38	$19.38	$64.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.51 / $47.51 / $133.29	Professional		$47.51	$47.51	$133.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.46 / $60.58 / $87.89	Professional		$48.46	$60.58	$87.89
United Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $23.70 / $60.63	Professional		$15.80	$23.70	$60.63