Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.88 / $74.13	Professional		$20.89	$33.88	$74.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $28.84 / $44.67	Professional		$17.38	$28.84	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $50.12 / $70.79	Professional		$25.70	$50.12	$70.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.39 / $40.74	Professional		$16.98	$22.39	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $41.69 / $72.44	Professional		$26.30	$41.69	$72.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $41.69 / $125.89	Professional		$28.84	$41.69	$125.89
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $15.49 / $15.49 / $56.23	Professional	52	$15.49	$15.49	$56.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $56.23 / $66.07	Professional		$40.74	$56.23	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $34.67 / $61.66	Professional		$23.44	$34.67	$61.66