Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.67 / $18.69 / $84.00	Facility		$12.67	$18.69	$84.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $15.10 / $28.50	Professional		$11.18	$15.10	$28.50
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $13.26 / $24.58 / $29.13	Professional	25	$13.26	$24.58	$29.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.35 / $20.53 / $25.50	Professional		$13.35	$20.53	$25.50
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $13.27 / $20.69 / $24.79	Professional	25	$13.27	$20.69	$24.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $15.70 / $28.66	Professional		$11.12	$15.70	$28.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.19 / $15.50 / $20.73	Facility		$12.19	$15.50	$20.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.44 / $21.70	Professional		$13.18	$16.44	$21.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $15.71 / $15.71	Facility		$15.71	$15.71	$15.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $16.85 / $29.77	Professional		$11.70	$16.85	$29.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $17.10 / $53.18	Professional		$12.54	$17.10	$53.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $18.69 / $26.04	Professional		$11.31	$18.69	$26.04
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $17.05 / $27.64	Professional		$13.18	$17.05	$27.64