Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $60.26 / $114.82	Facility		$30.90	$60.26	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $48.98	Professional		$21.88	$28.84	$48.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $21.88 / $48.98	Professional		$20.42	$21.88	$48.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $42.66 / $54.95	Facility		$22.39	$42.66	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $20.89 / $56.23	Professional		$15.49	$20.89	$56.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.91 / $50.12	Facility		$22.39	$22.91	$50.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $33.88	Professional		$22.39	$22.39	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $66.07 / $104.71	Facility		$33.88	$66.07	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $41.69 / $52.48	Professional		$19.50	$41.69	$52.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $48.98 / $190.55	Professional		$37.15	$48.98	$190.55
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $107.15 / $114.82	Facility		$93.33	$107.15	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $30.90 / $38.90	Facility		$18.62	$30.90	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $22.39 / $63.10	Professional		$14.45	$22.39	$63.10