Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.33 / $66.25 / $112.70	Facility		$23.33	$66.25	$112.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $32.63 / $61.18	Professional		$21.05	$32.63	$61.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.48 / $49.48 / $49.48	Professional		$49.48	$49.48	$49.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.77 / $41.41 / $121.41	Facility		$28.77	$41.41	$121.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $28.07 / $58.12	Professional		$14.04	$28.07	$58.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $49.13 / $75.44	Facility		$35.09	$49.13	$75.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $42.11 / $45.62	Professional		$35.09	$42.11	$45.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $62.10 / $108.68	Facility		$39.31	$62.10	$108.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.41 / $57.55 / $196.72	Professional		$17.41	$57.55	$196.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $45.62 / $274.68	Professional		$31.58	$45.62	$274.68
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $609.41 / $732.01 / $923.37	Facility		$609.41	$732.01	$923.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $49.13 / $64.92	Professional		$42.46	$49.13	$64.92
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 $14.74 / $21.05 / $61.43	Professional		$14.74	$21.05	$61.43