Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $25.70 / $208.93	Facility		$11.75	$25.70	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.75 / $26.30	Professional		$7.94	$11.75	$26.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.12 / $18.62	Professional		$7.76	$9.12	$18.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $16.60 / $22.39	Facility		$8.51	$16.60	$22.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $10.00 / $26.30	Professional		$6.46	$10.00	$26.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $10.47 / $19.05	Facility		$8.51	$10.47	$19.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $13.18	Professional		$8.51	$8.51	$13.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $26.30 / $40.74	Facility		$12.88	$26.30	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $16.22 / $19.95	Professional		$8.13	$16.22	$19.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.62 / $46.77	Professional		$14.13	$18.62	$46.77
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $741.31	Facility		$524.81	$524.81	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $11.75 / $15.49	Facility		$7.59	$11.75	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $8.71 / $23.99	Professional		$5.50	$8.71	$23.99