Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.22 / $25.22 / $75.30	Facility		$25.22	$25.22	$75.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.44 / $29.37 / $36.56	Professional		$22.44	$29.37	$36.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.48 / $70.48 / $70.48	Professional		$70.48	$70.48	$70.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.67 / $58.34 / $152.93	Facility		$41.67	$58.34	$152.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $46.83 / $92.40	Professional		$35.11	$46.83	$92.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.06 / $41.67 / $81.33	Facility		$30.06	$41.67	$81.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.42 / $35.42 / $35.42	Professional		$35.42	$35.42	$35.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $38.15 / $42.22	Facility		$38.15	$38.15	$42.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.43 / $38.15 / $56.78	Professional		$32.43	$38.15	$56.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.25 / $41.67 / $118.36	Professional		$28.25	$41.67	$118.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $72.76 / $79.18	Professional		$70.84	$72.76	$79.18
United Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $32.61 / $50.12	Professional		$22.21	$32.61	$50.12