Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.01 / $32.90 / $441.35	Facility		$8.01	$32.90	$441.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.01 / $11.45 / $14.46	Professional		$8.01	$11.45	$14.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $7.23 / $7.23	Professional		$7.23	$7.23	$7.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $13.13 / $41.69	Facility		$8.00	$13.13	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $4.82 / $16.03	Professional		$3.61	$4.82	$16.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.83 / $12.05 / $19.28	Facility		$7.83	$12.05	$19.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $7.83 / $12.05	Professional		$7.83	$7.83	$12.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.93 / $26.51 / $37.63	Facility		$11.93	$26.51	$37.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $14.87 / $18.59	Professional		$13.63	$14.87	$18.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.86 / $18.14 / $61.00	Professional		$13.86	$18.14	$61.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $310.92 / $310.92 / $310.92	Facility		$310.92	$310.92	$310.92
United Facility/Professional Facility Modifier Low / Median / High Price $10.85 / $10.85 / $12.05	Facility		$10.85	$10.85	$12.05
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $7.23 / $12.29	Professional		$5.05	$7.23	$12.29