Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.82 / $88.57 / $242.25	Facility		$26.82	$88.57	$242.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $24.96 / $45.88	Professional		$18.57	$24.96	$45.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $16.76 / $19.01	Professional		$16.76	$16.76	$19.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.19 / $35.70 / $91.80	Facility		$20.19	$35.70	$91.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $13.80 / $57.09	Professional		$10.35	$13.80	$57.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $27.94 / $44.70	Facility		$18.16	$27.94	$44.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.16 / $27.94	Professional		$18.16	$18.16	$27.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.91 / $61.47 / $85.68	Facility		$24.91	$61.47	$85.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.26 / $33.86 / $42.34	Professional		$17.26	$33.86	$42.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.53 / $36.32 / $100.39	Professional		$30.53	$36.32	$100.39
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $92.17 / $110.72 / $127.03	Facility		$92.17	$110.72	$127.03
United Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $22.99 / $58.67	Professional		$16.39	$22.99	$58.67