Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.56 / $93.83 / $312.80	Facility		$32.56	$93.83	$312.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $25.75 / $59.20	Professional		$17.76	$25.75	$59.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $17.76 / $20.14	Professional		$14.80	$17.76	$20.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.36 / $37.81 / $102.42	Facility		$21.36	$37.81	$102.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $16.78 / $59.32	Professional		$12.58	$16.78	$59.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.23 / $29.60 / $47.36	Facility		$19.23	$29.60	$47.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $19.23 / $29.60	Professional		$19.23	$19.23	$29.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.40 / $65.12 / $90.90	Facility		$26.40	$65.12	$90.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $35.93 / $44.91	Professional		$18.32	$35.93	$44.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $38.47 / $106.36	Professional		$32.34	$38.47	$106.36
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $175.55 / $210.89 / $358.80	Facility		$175.55	$210.89	$358.80
United Facility/Professional Facility Modifier Low / Median / High Price $26.64 / $26.64 / $26.64	Facility		$26.64	$26.64	$26.64
United Facility/Professional Professional Modifier Low / Median / High Price $16.28 / $24.37 / $54.08	Professional		$16.28	$24.37	$54.08