Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.08 / $11.25 / $12.92	Facility		$10.08	$11.25	$12.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $12.92 / $25.99	Professional		$10.43	$12.92	$25.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.96 / $24.86 / $27.14	Professional		$13.96	$24.86	$27.14
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $24.86 / $24.86 / $24.86	Professional	25	$24.86	$24.86	$24.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $15.68 / $28.82	Professional		$12.01	$15.68	$28.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.20 / $16.73 / $21.04	Facility		$13.20	$16.73	$21.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $17.21 / $22.70	Professional		$13.78	$17.21	$22.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $20.07 / $34.10	Professional		$14.05	$20.07	$34.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.36 / $17.23 / $32.22	Professional		$12.36	$17.23	$32.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $19.50 / $26.33	Professional		$11.96	$19.50	$26.33
United Facility/Professional Professional Modifier Low / Median / High Price $13.95 / $18.60 / $29.70	Professional		$13.95	$18.60	$29.70