Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.33 / $62.69 / $111.24	Facility		$23.33	$62.69	$111.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $26.30 / $44.52	Professional		$24.56	$26.30	$44.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Professional		$21.05	$21.05	$21.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.85 / $38.77 / $121.41	Facility		$22.85	$38.77	$121.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.86 / $17.32 / $53.72	Professional		$13.86	$17.32	$53.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.81 / $49.13 / $75.41	Facility		$22.81	$49.13	$75.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $35.09 / $43.86	Professional		$22.81	$35.09	$43.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.83 / $77.20 / $108.68	Facility		$34.83	$77.20	$108.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.96 / $42.95 / $104.49	Professional		$15.96	$42.95	$104.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $42.91 / $274.68	Professional		$31.58	$42.91	$274.68
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $82.69 / $104.31	Facility		$68.84	$82.69	$104.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $43.16 / $62.64	Professional		$35.09	$43.16	$62.64
United Facility/Professional Facility Modifier Low / Median / High Price $31.58 / $31.58 / $31.58	Facility		$31.58	$31.58	$31.58
United Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $20.88 / $50.27	Professional		$14.05	$20.88	$50.27