Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $22.91	Facility		$20.89	$20.89	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.99 / $38.90	Professional		$18.20	$23.99	$38.90
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $0.52 / $0.52 / $0.52	Professional	25	$0.52	$0.52	$0.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $26.92 / $46.77	Professional		$24.55	$26.92	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $26.30 / $39.81	Professional		$18.62	$26.30	$39.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $29.51	Facility		$25.12	$25.12	$29.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $41.69 / $47.86	Professional		$37.15	$41.69	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $43.65	Professional		$28.84	$28.84	$43.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $34.67 / $56.23	Professional		$26.92	$34.67	$56.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $47.86	Professional		$42.66	$42.66	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $31.62 / $61.66	Professional		$22.39	$31.62	$61.66