Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $41.66 / $156.93	Facility		$20.14	$41.66	$156.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $18.98 / $24.45	Professional		$14.88	$18.98	$24.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $12.76 / $12.76	Professional		$12.76	$12.76	$12.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.35 / $27.16 / $73.56	Facility		$15.35	$27.16	$73.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $10.50 / $42.60	Professional		$7.87	$10.50	$42.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.82 / $21.26 / $34.02	Facility		$13.82	$21.26	$34.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $13.82 / $21.26	Professional		$13.82	$13.82	$21.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.28 / $46.77 / $65.84	Facility		$21.28	$46.77	$65.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.14 / $26.02 / $32.53	Professional		$13.14	$26.02	$32.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $27.64 / $76.37	Professional		$23.23	$27.64	$76.37
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $198.32 / $198.32 / $198.32	Facility		$198.32	$198.32	$198.32
United Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $15.52 / $38.63	Professional		$8.93	$15.52	$38.63