Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $21.84 / $39.90	Professional		$15.32	$21.84	$39.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $42.78 / $42.78	Professional		$42.78	$42.78	$42.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $19.30 / $46.71	Professional		$11.48	$19.30	$46.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.26 / $33.40 / $55.30	Facility		$32.26	$33.40	$55.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $21.85 / $63.13	Professional		$11.50	$21.85	$63.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.74 / $32.26 / $179.47	Professional		$20.74	$32.26	$179.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.42 / $28.34 / $41.13	Professional		$22.42	$28.34	$41.13
United Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $27.79 / $62.12	Professional		$13.82	$27.79	$62.12