Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $36.31 / $257.04	Facility		$20.89	$36.31	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.12 / $77.62	Professional		$18.20	$25.12	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $29.51 / $35.48	Facility		$17.38	$29.51	$35.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $23.99 / $44.67	Professional		$10.72	$23.99	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $52.48 / $81.28	Facility		$26.92	$52.48	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $33.88 / $74.13	Professional		$12.30	$33.88	$74.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.02 / $208.93	Professional		$23.99	$38.02	$208.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $31.62 / $57.54	Professional		$26.30	$31.62	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $23.99 / $26.92	Facility		$15.85	$23.99	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $26.92 / $58.88	Professional		$16.22	$26.92	$58.88