Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $23.44 / $112.20	Facility		$10.72	$23.44	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $24.55	Professional		$7.94	$10.96	$24.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $8.51	Professional		$8.51	$8.51	$8.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $15.49 / $21.38	Facility		$7.94	$15.49	$21.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $9.33 / $25.12	Professional		$6.03	$9.33	$25.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Facility		$9.77	$9.77	$9.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $24.55 / $38.02	Facility		$12.30	$24.55	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $14.79 / $18.62	Professional		$7.59	$14.79	$18.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $17.38 / $43.65	Professional		$13.49	$17.38	$43.65
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $316.23	Facility		$302.00	$302.00	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $10.96 / $14.79	Facility		$7.24	$10.96	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $8.13 / $22.39	Professional		$5.13	$8.13	$22.39