Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.55 / $46.12 / $218.85	Facility		$14.55	$46.12	$218.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $12.67 / $25.36	Professional		$9.68	$12.67	$25.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.73 / $8.73 / $9.90	Professional		$8.73	$8.73	$9.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $18.59 / $50.34	Facility		$10.50	$18.59	$50.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.38 / $7.18 / $29.16	Professional		$5.38	$7.18	$29.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.46 / $14.55 / $23.28	Facility		$9.46	$14.55	$23.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $9.46 / $14.55	Professional		$9.46	$9.46	$14.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.51 / $32.01 / $45.75	Facility		$14.51	$32.01	$45.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $17.76 / $22.20	Professional		$9.01	$17.76	$22.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $18.92 / $52.28	Professional		$15.90	$18.92	$52.28
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $172.29 / $206.97 / $261.06	Facility		$172.29	$206.97	$261.06
United Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $11.98 / $28.35	Professional		$8.00	$11.98	$28.35