Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.93 / $15.93 / $26.19	Facility		$15.93	$15.93	$26.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $16.88 / $20.96	Professional		$13.00	$16.88	$20.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $34.97 / $34.97	Professional		$34.97	$34.97	$34.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $24.98 / $59.82	Professional		$17.64	$24.98	$59.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.97 / $36.22 / $39.97	Facility		$34.97	$36.22	$39.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.27 / $29.27 / $29.27	Facility		$29.27	$29.27	$29.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $34.20	Professional		$10.19	$10.19	$34.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.98 / $24.98 / $82.11	Professional		$24.98	$24.98	$82.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $31.85 / $46.21	Professional		$25.48	$31.85	$46.21
United Facility/Professional Professional Modifier Low / Median / High Price $8.31 / $12.46 / $31.88	Professional		$8.31	$12.46	$31.88