Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.26 / $23.26 / $38.25	Facility		$23.26	$23.26	$38.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $29.16 / $64.00	Professional		$22.64	$29.16	$64.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.35 / $44.00 / $77.95	Professional		$27.35	$44.00	$77.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $36.47 / $97.90	Professional		$29.38	$36.47	$97.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.06 / $52.88 / $58.35	Facility		$51.06	$52.88	$58.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.74 / $42.74 / $42.74	Facility		$42.74	$42.74	$42.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $14.88 / $49.95	Professional		$14.88	$14.88	$49.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $36.47 / $159.94	Professional		$36.47	$36.47	$159.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $46.50 / $67.47	Professional		$37.20	$46.50	$67.47
United Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $18.20 / $64.95	Professional		$12.13	$18.20	$64.95