Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $47.52 / $557.29	Facility		$14.21	$47.52	$557.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $13.59 / $320.39	Professional		$12.56	$13.59	$320.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $8.99 / $8.99	Professional		$8.99	$8.99	$8.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.82 / $17.69 / $51.87	Facility		$10.82	$17.69	$51.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.55 / $7.40 / $25.30	Professional		$5.55	$7.40	$25.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.74 / $14.99 / $23.98	Facility		$9.74	$14.99	$23.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $9.74 / $14.99	Professional		$9.74	$9.74	$14.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.83 / $32.97 / $46.58	Facility		$14.83	$32.97	$46.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $18.17 / $22.71	Professional		$9.32	$18.17	$22.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.38 / $19.48 / $43.13	Professional		$16.38	$19.48	$43.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $471.78 / $566.69 / $695.16	Facility		$471.78	$566.69	$695.16
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Facility		$13.49	$13.49	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $9.88 / $25.40	Professional		$7.04	$9.88	$25.40