Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $33.88 / $83.18	Facility		$25.12	$33.88	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $27.54 / $58.88	Professional		$20.89	$27.54	$58.88
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $26.92 / $56.23 / $100.00	Professional	25	$26.92	$56.23	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.18 / $45.71	Professional		$21.88	$28.18	$45.71
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $23.99 / $27.54 / $51.29	Professional	25	$23.99	$27.54	$51.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $29.51 / $50.12	Professional		$24.55	$29.51	$50.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $33.88 / $43.65	Facility		$25.12	$33.88	$43.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.20 / $41.69	Professional		$25.12	$30.20	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.88 / $54.95	Professional		$23.44	$33.88	$54.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $33.88 / $58.88	Professional		$22.39	$33.88	$58.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $40.74 / $56.23	Professional		$27.54	$40.74	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $26.30 / $26.92	Facility		$25.12	$26.30	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $29.51 / $47.86	Professional		$23.44	$29.51	$47.86