Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $85.06 / $635.63	Facility		$25.70	$85.06	$635.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $50.90 / $69.23	Professional		$20.36	$50.90	$69.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $15.27 / $15.27	Professional		$15.27	$15.27	$15.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.37 / $32.52 / $88.06	Facility		$18.37	$32.52	$88.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $12.57 / $49.93	Professional		$9.42	$12.57	$49.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $25.45 / $40.72	Facility		$16.54	$25.45	$40.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.54 / $25.45	Professional		$16.54	$16.54	$25.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.48 / $55.99 / $78.37	Facility		$25.48	$55.99	$78.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $30.98 / $38.72	Professional		$15.73	$30.98	$38.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.81 / $33.09 / $91.40	Professional		$27.81	$33.09	$91.40
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $720.09 / $864.97 / $1,073.61	Facility		$720.09	$864.97	$1,073.61
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $20.83 / $35.54	Professional		$14.00	$20.83	$35.54