Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.26 / $11.17 / $17.48	Facility		$8.26	$11.17	$17.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.90 / $16.45 / $30.00	Professional		$7.90	$16.45	$30.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $0.30 / $0.30 / $37.64	Professional	25	$0.30	$0.30	$37.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.28 / $21.47 / $31.84	Professional		$18.28	$21.47	$31.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $16.22 / $30.94	Professional		$8.77	$16.22	$30.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.36 / $11.93 / $16.22	Facility		$9.36	$11.93	$16.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $20.14 / $25.79	Professional		$15.90	$20.14	$25.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $12.08 / $12.08	Facility		$12.08	$12.08	$12.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $15.77 / $36.36	Professional		$15.77	$15.77	$36.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $17.14 / $51.00	Professional		$8.77	$17.14	$51.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.73 / $17.07 / $31.93	Professional		$8.73	$17.07	$31.93
United Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $23.11 / $39.28	Professional		$16.54	$23.11	$39.28