Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $20.20 / $41.47	Professional		$15.69	$20.20	$41.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $28.68 / $34.35	Professional		$17.44	$28.68	$34.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.66 / $22.68 / $45.38	Professional		$16.66	$22.68	$45.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $23.46 / $25.09	Facility		$17.30	$23.46	$25.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $18.55 / $24.78	Professional		$18.55	$18.55	$24.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.37 / $26.03 / $46.91	Professional		$15.37	$26.03	$46.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $25.90 / $127.13	Professional		$20.35	$25.90	$127.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $25.02 / $28.44	Professional		$16.07	$25.02	$28.44
United Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $23.26 / $47.74	Professional		$16.45	$23.26	$47.74