Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $32.36 / $37.15	Facility		$22.91	$32.36	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $37.15 / $66.07	Professional		$22.91	$37.15	$66.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $51.29 / $69.18	Professional		$41.69	$51.29	$69.18
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $36.31 / $36.31 / $51.29	Professional	25	$36.31	$36.31	$51.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $45.71 / $67.61	Professional		$32.36	$45.71	$67.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $48.98 / $69.18	Facility		$31.62	$48.98	$69.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $69.18 / $120.23	Professional		$41.69	$69.18	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $52.48 / $93.33	Professional		$33.11	$52.48	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $58.88 / $123.03	Professional		$38.90	$58.88	$123.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $54.95 / $66.07	Professional		$47.86	$54.95	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $51.29 / $91.20	Professional		$32.36	$51.29	$91.20