Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.06 / $21.06 / $23.51	Facility		$21.06	$21.06	$23.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $24.13 / $36.72	Professional		$19.03	$24.13	$36.72
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 $24.35 / $56.34 / $60.80	Professional		$24.35	$56.34	$60.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $26.58 / $44.56	Professional		$17.48	$26.58	$44.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.33 / $35.10 / $55.45	Facility		$26.33	$35.10	$55.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.76 / $42.62 / $70.98	Professional		$34.76	$42.62	$70.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $29.16 / $86.27	Professional		$29.16	$29.16	$86.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $31.83 / $76.00	Professional		$29.25	$31.83	$76.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $44.70 / $65.90	Professional		$32.72	$44.70	$65.90
United Facility/Professional Professional Modifier Low / Median / High Price $24.04 / $37.35 / $77.20	Professional		$24.04	$37.35	$77.20