Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.67 / $29.07 / $98.98	Facility		$19.67	$29.07	$98.98
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $51.84 / $176.12 / $291.39	Facility	CQ	$51.84	$176.12	$291.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $21.44 / $48.20	Professional		$14.40	$21.44	$48.20
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $16.10 / $19.71 / $42.36	Professional	CQ	$16.10	$19.71	$42.36
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $29.38 / $29.38 / $35.36	Professional	CQ	$29.38	$29.38	$35.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.17 / $30.95 / $57.66	Professional		$20.17	$30.95	$57.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.56 / $38.08 / $46.06	Facility		$27.56	$38.08	$46.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $29.68 / $37.86	Professional		$27.54	$29.68	$37.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.79 / $65.00 / $80.00	Facility		$28.79	$65.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.61 / $49.88 / $108.10	Professional		$18.61	$49.88	$108.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $35.36 / $90.00	Professional		$23.90	$35.36	$90.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $70.54 / $182.85 / $206.46	Facility		$70.54	$182.85	$206.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $28.02 / $47.79	Professional		$20.39	$28.02	$47.79
United Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $28.73 / $39.65	Professional		$19.78	$28.73	$39.65