Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.53 / $41.73 / $238.00	Facility		$10.53	$41.73	$238.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $8.61 / $24.45	Professional		$7.57	$8.61	$24.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Professional		$5.75	$5.75	$5.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $12.24 / $33.15	Facility		$6.92	$12.24	$33.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $4.73 / $19.17	Professional		$3.54	$4.73	$19.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.23 / $9.58 / $15.33	Facility		$6.23	$9.58	$15.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.23 / $6.23 / $9.58	Professional		$6.23	$6.23	$9.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.67 / $21.08 / $30.23	Facility		$9.67	$21.08	$30.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.96 / $11.56 / $14.45	Professional		$5.96	$11.56	$14.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.45 / $34.38	Professional		$10.47	$12.45	$34.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $241.82 / $290.45 / $366.39	Facility		$241.82	$290.45	$366.39
United Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $6.99 / $13.37	Professional		$4.20	$6.99	$13.37