Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $57.91 / $102.39	Facility		$21.48	$57.91	$102.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $27.75 / $37.15	Professional		$21.48	$27.75	$37.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Professional		$19.38	$19.38	$19.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.31 / $41.27 / $111.76	Facility		$23.31	$41.27	$111.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $15.95 / $64.73	Professional		$11.96	$15.95	$64.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.04 / $32.29 / $51.68	Facility		$22.04	$32.29	$51.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.25 / $71.06 / $99.26	Facility		$32.25	$71.06	$99.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.86 / $39.24 / $49.05	Professional		$19.86	$39.24	$49.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $41.99 / $116.06	Professional		$35.29	$41.99	$116.06
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $183.89 / $220.88 / $278.60	Facility		$183.89	$220.88	$278.60
United Facility/Professional Professional Modifier Low / Median / High Price $17.77 / $26.44 / $59.01	Professional		$17.77	$26.44	$59.01