Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.42 / $15.56 / $31.84	Professional		$12.42	$15.56	$31.84
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $20.63 / $20.63 / $20.63	Professional	CQ	$20.63	$20.63	$20.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $21.66 / $39.56	Professional		$14.25	$21.66	$39.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $19.23 / $24.50	Professional		$17.80	$19.23	$24.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $47.12 / $111.17	Professional		$14.18	$47.12	$111.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $22.92 / $90.00	Professional		$15.58	$22.92	$90.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $18.25 / $31.16	Professional		$13.22	$18.25	$31.16
United Facility/Professional Professional Modifier Low / Median / High Price $15.02 / $21.27 / $32.82	Professional		$15.02	$21.27	$32.82