Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.30 / $24.93 / $51.21	Facility		$13.30	$24.93	$51.21
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $6.65 / $12.46 / $25.60	Facility	52	$6.65	$12.46	$25.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.82 / $15.92 / $43.77	Professional		$12.82	$15.92	$43.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.21 / $19.82 / $31.34	Professional		$13.21	$19.82	$31.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $23.28 / $43.34	Professional		$12.25	$23.28	$43.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.84 / $19.14 / $26.42	Facility		$15.84	$19.14	$26.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.39 / $18.50	Professional		$13.80	$16.39	$18.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.26 / $22.09 / $42.39	Professional		$15.26	$22.09	$42.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $18.48 / $61.58	Professional		$12.26	$18.48	$61.58
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $10.83 / $10.83 / $39.57	Professional	52	$10.83	$10.83	$39.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.21 / $21.93 / $27.26	Professional		$13.21	$21.93	$27.26
United Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $19.70 / $37.95	Professional		$13.97	$19.70	$37.95