Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $24.55 / $66.07	Professional		$18.62	$24.55	$66.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $26.30 / $42.66	Professional		$11.22	$26.30	$42.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $31.62 / $53.70	Professional		$13.18	$31.62	$53.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $32.36 / $60.26	Facility		$30.20	$32.36	$60.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $30.90	Professional		$27.54	$27.54	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $30.20 / $69.18	Professional		$12.02	$30.20	$69.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $37.15 / $169.82	Professional		$21.88	$37.15	$169.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.30 / $48.98	Professional		$22.39	$26.30	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $26.30	Facility		$23.44	$23.44	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $26.30 / $57.54	Professional		$15.85	$26.30	$57.54