Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.79 / $42.20 / $87.74	Facility		$22.79	$42.20	$87.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $26.72 / $62.06	Professional		$22.21	$26.72	$62.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $31.36 / $42.78	Professional		$22.40	$31.36	$42.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.85 / $48.85 / $48.85	Facility		$48.85	$48.85	$48.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $36.35 / $68.36	Professional		$20.39	$36.35	$68.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.88 / $32.47 / $44.80	Facility		$26.88	$32.47	$44.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.31 / $27.79 / $31.34	Professional		$23.31	$27.79	$31.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.89 / $37.45 / $67.20	Professional		$25.89	$37.45	$67.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.73 / $31.36 / $82.71	Professional		$20.73	$31.36	$82.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $36.96 / $46.16	Professional		$22.80	$36.96	$46.16
United Facility/Professional Professional Modifier Low / Median / High Price $24.68 / $33.76 / $61.93	Professional		$24.68	$33.76	$61.93