Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.91 / $17.91 / $42.54	Facility		$17.91	$17.91	$42.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.91 / $22.62 / $27.01	Professional		$17.91	$22.62	$27.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $19.47 / $19.47	Professional		$19.47	$19.47	$19.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.70 / $52.78 / $138.36	Facility		$37.70	$52.78	$138.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.11 / $31.36 / $60.21	Professional		$20.11	$31.36	$60.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.04 / $38.27 / $69.75	Facility		$32.04	$38.27	$69.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $32.04 / $32.04	Professional		$32.04	$32.04	$32.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $29.97 / $29.97	Facility		$29.97	$29.97	$29.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $52.13	Professional		$21.88	$21.88	$52.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.65 / $37.70 / $52.65	Professional		$28.65	$37.70	$52.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.09 / $65.36 / $71.13	Professional		$64.09	$65.36	$71.13
United Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $18.82 / $31.05	Professional		$12.54	$18.82	$31.05