Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $22.39 / $54.95	Professional		$15.14	$22.39	$54.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $27.54 / $52.48	Professional		$16.60	$27.54	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.12 / $51.29	Professional		$16.98	$25.12	$51.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $25.12 / $29.51	Facility		$17.78	$25.12	$29.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $25.70	Professional		$24.55	$24.55	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $25.12 / $48.98	Professional		$15.49	$25.12	$48.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.70 / $125.89	Professional		$19.50	$25.70	$125.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.70 / $28.84	Professional		$25.12	$25.70	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $20.42 / $42.66	Professional		$15.49	$20.42	$42.66