Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $16.80 / $26.91	Professional		$13.34	$16.80	$26.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $25.00 / $27.86	Professional		$20.07	$25.00	$27.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $25.57 / $42.53	Professional		$16.82	$25.57	$42.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $24.80 / $29.06	Facility		$20.81	$24.80	$29.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $25.53 / $25.53	Professional		$25.10	$25.53	$25.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $57.81 / $101.63	Professional		$21.55	$57.81	$101.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $19.23 / $23.88	Professional		$19.23	$19.23	$23.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.59 / $22.72 / $42.91	Professional		$14.59	$22.72	$42.91
United Facility/Professional Professional Modifier Low / Median / High Price $23.08 / $25.97 / $35.84	Professional		$23.08	$25.97	$35.84