Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $60.10 / $257.60	Facility		$17.05	$60.10	$257.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $16.54 / $26.35	Professional		$14.03	$16.54	$26.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $11.38 / $11.38	Professional		$11.38	$11.38	$11.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.68 / $24.22 / $65.59	Facility		$13.68	$24.22	$65.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $9.36 / $38.02	Professional		$7.02	$9.36	$38.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $18.96 / $30.34	Facility		$12.32	$18.96	$30.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.32 / $18.96	Professional		$12.32	$12.32	$18.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.03 / $41.71 / $58.52	Facility		$19.03	$41.71	$58.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $23.13 / $28.91	Professional		$12.32	$23.13	$28.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $24.65 / $68.18	Professional		$20.72	$24.65	$68.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $111.27 / $133.66 / $157.47	Facility		$111.27	$133.66	$157.47
United Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $13.85 / $34.64	Professional		$9.18	$13.85	$34.64