Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $64.57 / $117.49	Facility		$22.91	$64.57	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $64.57	Professional		$22.91	$30.90	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.38 / $18.62	Professional		$14.79	$17.38	$18.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $42.66 / $60.26	Facility		$22.91	$42.66	$60.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $27.54 / $50.12	Professional		$17.38	$27.54	$50.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $48.98 / $75.86	Facility		$41.69	$48.98	$75.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $45.71 / $47.86	Professional		$41.69	$45.71	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $66.07 / $107.15	Facility		$34.67	$66.07	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $40.74 / $104.71	Professional		$17.78	$40.74	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $45.71 / $275.42	Professional		$31.62	$45.71	$275.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $31.62 / $43.65	Facility		$29.51	$31.62	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $54.95	Professional		$14.79	$20.89	$54.95