Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $28.00 / $61.00	Professional		$21.97	$28.00	$61.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.22 / $26.69 / $48.77	Professional		$17.22	$26.69	$48.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.45 / $42.40 / $76.95	Professional		$17.45	$42.40	$76.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $21.29 / $24.01	Professional		$18.64	$21.29	$24.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $42.32 / $70.06	Professional		$23.24	$42.32	$70.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.45 / $25.21 / $122.00	Professional		$17.45	$25.21	$122.00
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $15.42 / $15.42 / $56.36	Professional	52	$15.42	$15.42	$56.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.35 / $48.28 / $60.20	Professional		$32.35	$48.28	$60.20
United Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $35.27 / $63.53	Professional		$23.90	$35.27	$63.53