Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $67.61 / $269.15	Facility		$26.30	$67.61	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.88 / $74.13	Professional		$25.12	$33.88	$74.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.30 / $26.30	Professional		$22.39	$26.30	$26.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $45.71 / $64.57	Facility		$24.55	$45.71	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $27.54 / $53.70	Professional		$18.62	$27.54	$53.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $30.20 / $54.95	Facility		$24.55	$30.20	$54.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $38.02	Professional		$24.55	$24.55	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $66.07 / $114.82	Facility		$38.02	$66.07	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $45.71 / $57.54	Professional		$23.44	$45.71	$57.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $53.70 / $85.11	Professional		$41.69	$53.70	$85.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $104.71 / $123.03	Facility		$102.33	$104.71	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $33.88 / $45.71	Facility		$21.88	$33.88	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.42 / $52.48	Professional		$15.85	$20.42	$52.48