Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $3,235.94 / $7,413.10	Facility		$89.13	$3,235.94	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $93.33 / $194.98	Professional		$39.81	$93.33	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $97.72 / $165.96	Professional		$72.44	$97.72	$165.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,238.72 / $3,548.13	Facility		$794.33	$2,238.72	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $91.20 / $138.04	Professional		$40.74	$91.20	$138.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $52.48 / $144.54	Facility		$42.66	$52.48	$144.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $95.50 / $104.71	Professional		$87.10	$95.50	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $75.86 / $190.55	Professional		$33.88	$75.86	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $61.66 / $134.90	Professional		$33.88	$61.66	$134.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $123.03 / $141.25	Professional		$46.77	$123.03	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,513.56 / $2,511.89	Facility		$213.80	$1,513.56	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $93.33 / $190.55	Professional		$40.74	$93.33	$190.55