Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.69 / $25.66 / $50.57	Professional		$18.69	$25.66	$50.57
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $8.72 / $11.01 / $15.04	Professional	52	$8.72	$11.01	$15.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.61 / $36.92 / $48.64	Professional		$24.61	$36.92	$48.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.79 / $28.99 / $52.86	Professional		$18.79	$28.99	$52.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $25.37 / $27.20	Facility		$18.62	$25.37	$27.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $26.20 / $34.24	Professional		$26.20	$26.20	$34.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $28.70 / $53.78	Professional		$18.39	$28.70	$53.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.21 / $34.06 / $132.28	Professional		$24.21	$34.06	$132.28
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $14.05 / $14.05 / $18.94	Professional	52	$14.05	$14.05	$18.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.71 / $35.32 / $55.28	Professional		$22.71	$35.32	$55.28
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.15 / $48.51	Professional		$21.38	$28.15	$48.51