Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.47 / $14.47 / $14.69	Facility		$14.47	$14.47	$14.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $16.14 / $20.66	Professional		$13.26	$16.14	$20.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.05 / $31.05 / $31.05	Professional		$31.05	$31.05	$31.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $23.44 / $40.69	Professional		$14.68	$23.44	$40.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.66 / $24.88 / $33.17	Facility		$18.66	$24.88	$33.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.09 / $28.31 / $46.69	Professional		$23.09	$28.31	$46.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Facility		$65.00	$65.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $28.77 / $110.57	Professional		$11.27	$28.77	$110.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.66 / $24.88 / $143.29	Professional		$18.66	$24.88	$143.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.70 / $54.70 / $54.70	Professional		$54.70	$54.70	$54.70
United Facility/Professional Professional Modifier Low / Median / High Price $19.26 / $23.44 / $43.52	Professional		$19.26	$23.44	$43.52