Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.38 / $35.69 / $184.32	Facility		$12.38	$35.69	$184.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.02 / $15.46	Professional		$8.32	$10.02	$15.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $7.66	Professional		$6.76	$6.76	$7.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $14.39 / $38.96	Facility		$8.13	$14.39	$38.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.56 / $22.55	Professional		$4.17	$5.56	$22.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.32 / $11.26 / $18.02	Facility		$7.32	$11.26	$18.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.32 / $7.32 / $11.26	Professional		$7.32	$7.32	$11.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.29 / $24.77 / $35.13	Facility		$11.29	$24.77	$35.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $13.63 / $17.04	Professional		$6.87	$13.63	$17.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.64 / $40.45	Professional		$12.30	$14.64	$40.45
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $956.24 / $1,008.14 / $1,136.49	Facility		$956.24	$1,008.14	$1,136.49
United Facility/Professional Professional Modifier Low / Median / High Price $6.19 / $8.81 / $15.73	Professional		$6.19	$8.81	$15.73