Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $44.41 / $157.00	Facility		$19.98	$44.41	$157.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $19.41 / $32.59	Professional		$14.45	$19.41	$32.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $13.04 / $14.79	Professional		$10.87	$13.04	$14.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.68 / $27.76 / $75.19	Facility		$15.68	$27.76	$75.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.03 / $10.73 / $43.54	Professional		$8.03	$10.73	$43.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $21.73 / $34.77	Facility		$14.12	$21.73	$34.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $14.12 / $21.73	Professional		$14.12	$14.12	$21.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.61 / $47.81 / $66.89	Facility		$21.61	$47.81	$66.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $26.43 / $33.04	Professional		$13.44	$26.43	$33.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.74 / $28.25 / $78.06	Professional		$23.74	$28.25	$78.06
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $86.61 / $104.04 / $131.24	Facility		$86.61	$104.04	$131.24
United Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $15.39 / $30.36	Professional		$9.13	$15.39	$30.36