Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $31.62	Professional		$12.02	$15.14	$31.62
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $20.89 / $20.89 / $20.89	Professional	CQ	$20.89	$20.89	$20.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.88 / $38.90	Professional		$15.85	$21.88	$38.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.89 / $41.69	Professional		$18.20	$20.89	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $23.44 / $46.77	Professional		$11.22	$23.44	$46.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.39 / $36.31	Professional		$15.85	$22.39	$36.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $25.12 / $26.92	Professional		$23.44	$25.12	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.38 / $33.11	Professional		$15.14	$21.38	$33.11