Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $183.00 / $183.00 / $183.00	Professional		$183.00	$183.00	$183.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.70 / $32.70 / $50.27	Professional		$32.70	$32.70	$50.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.00 / $22.00 / $38.00	Facility		$22.00	$22.00	$38.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $18.70 / $18.70	Professional		$18.70	$18.70	$18.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $69.31 / $249.00	Professional		$65.90	$69.31	$249.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $630.53 / $1,261.90 / $1,274.00	Facility		$630.53	$1,261.90	$1,274.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $18.84 / $22.16	Professional		$18.84	$18.84	$22.16