Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $16.39 / $26.97	Facility		$16.39	$16.39	$26.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $18.34 / $40.90	Professional		$15.97	$18.34	$40.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $24.70 / $24.70	Professional		$24.70	$24.70	$24.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $25.72 / $71.72	Professional		$20.72	$25.72	$71.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.01 / $37.29 / $41.15	Facility		$36.01	$37.29	$41.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.14 / $30.14 / $30.14	Facility		$30.14	$30.14	$30.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $10.49 / $35.22	Professional		$10.49	$10.49	$35.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $25.72 / $153.56	Professional		$25.72	$25.72	$153.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $32.79 / $47.58	Professional		$26.23	$32.79	$47.58
United Facility/Professional Professional Modifier Low / Median / High Price $8.56 / $12.83 / $35.07	Professional		$8.56	$12.83	$35.07