Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.15 / $66.11 / $168.75	Facility		$13.15	$66.11	$168.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $10.25 / $14.12	Professional		$8.69	$10.25	$14.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $7.06 / $8.02	Professional		$7.06	$7.06	$8.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.50 / $15.04 / $40.72	Facility		$8.50	$15.04	$40.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $5.82 / $23.59	Professional		$4.36	$5.82	$23.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.65 / $11.77 / $18.82	Facility		$7.65	$11.77	$18.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $7.65 / $11.77	Professional		$7.65	$7.65	$11.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.61 / $25.89 / $36.77	Facility		$11.61	$25.89	$36.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.33 / $14.46 / $18.07	Professional		$7.33	$14.46	$18.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $15.30 / $42.28	Professional		$12.86	$15.30	$42.28
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $238.99 / $287.06 / $350.99	Facility		$238.99	$287.06	$350.99
United Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $9.64 / $21.50	Professional		$6.00	$9.64	$21.50