Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $63.10 / $288.40	Facility		$25.12	$63.10	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $64.57	Professional		$21.88	$28.84	$64.57
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $138.04 / $204.17 / $204.17	Professional	CQ	$138.04	$204.17	$204.17
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $27.54 / $27.54 / $27.54	Professional	CQ	$27.54	$27.54	$27.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $36.31 / $67.61	Professional		$26.92	$36.31	$67.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $48.98 / $60.26	Facility		$33.88	$48.98	$60.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $40.74 / $81.28	Professional		$35.48	$40.74	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $70.79 / $79.43	Facility		$54.95	$70.79	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $39.81 / $69.18	Professional		$19.05	$39.81	$69.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $41.69 / $63.10	Professional		$30.90	$41.69	$63.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $48.98 / $52.48	Professional		$45.71	$48.98	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $37.15 / $50.12	Professional		$27.54	$37.15	$50.12