Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $58.40 / $158.90	Facility		$18.30	$58.40	$158.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $15.22 / $28.63	Professional		$13.79	$15.22	$28.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.73 / $12.73 / $12.73	Professional		$12.73	$12.73	$12.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.08 / $23.12 / $73.39	Facility		$14.08	$23.12	$73.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $8.48 / $33.97	Professional		$6.36	$8.48	$33.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.79 / $21.21 / $33.94	Facility		$13.79	$21.21	$33.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $13.79 / $21.21	Professional		$13.79	$13.79	$21.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.76 / $46.66 / $59.25	Facility		$20.76	$46.66	$59.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $26.02 / $32.53	Professional		$10.08	$26.02	$32.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.18 / $27.57 / $59.15	Professional		$23.18	$27.57	$59.15
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $394.65 / $401.12 / $412.00	Facility		$394.65	$401.12	$412.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $13.54 / $28.29	Professional		$9.66	$13.54	$28.29