Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.02 / $6.17 / $9.55	Facility	26	$3.02	$6.17	$9.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $48.98 / $87.10	Professional		$38.90	$48.98	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $50.12 / $57.54	Professional		$40.74	$50.12	$57.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $77.62 / $117.49	Professional		$41.69	$77.62	$117.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.39 / $3.39	Professional		$3.39	$3.39	$3.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $70.79 / $123.03	Professional		$46.77	$70.79	$123.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $138.04	Professional		$51.29	$64.57	$138.04
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $3.55 / $4.47 / $12.30	Professional	26	$3.55	$4.47	$12.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $70.79 / $104.71	Professional		$5.89	$70.79	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $63.10 / $112.20	Professional		$43.65	$63.10	$112.20