Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.39 / $29.31 / $32.36	Facility		$28.39	$29.31	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.52 / $32.15 / $64.48	Professional		$25.52	$32.15	$64.48
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $50.51 / $50.51 / $50.51	Professional	25	$50.51	$50.51	$50.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.42 / $47.27 / $57.91	Professional		$29.42	$47.27	$57.91
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $30.64 / $30.64 / $30.64	Professional	25	$30.64	$30.64	$30.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.10 / $33.31 / $60.96	Professional		$29.10	$33.31	$60.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.47 / $40.65 / $55.32	Facility		$30.47	$40.65	$55.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.04 / $37.00 / $48.93	Professional		$30.04	$37.00	$48.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.14 / $41.14 / $41.14	Facility		$41.14	$41.14	$41.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $28.57 / $66.12	Professional		$28.57	$28.57	$66.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.90 / $31.19 / $116.00	Professional		$29.90	$31.19	$116.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $40.46 / $55.76	Professional		$27.86	$40.46	$55.76
United Facility/Professional Professional Modifier Low / Median / High Price $31.48 / $42.05 / $69.70	Professional		$31.48	$42.05	$69.70