Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $3,162.28 / $7,413.10	Facility		$660.69	$3,162.28	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $138.04 / $281.84	Professional		$72.44	$138.04	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $151.36	Professional		$64.57	$87.10	$151.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,884.03 / $4,786.30	Facility		$1,071.52	$2,884.03	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $223.87	Professional		$93.33	$144.54	$223.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $147.91 / $162.18	Professional		$138.04	$147.91	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $141.25 / $295.12	Professional		$75.86	$141.25	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $177.83 / $478.63	Professional		$85.11	$177.83	$478.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $190.55 / $223.87	Professional		$107.15	$190.55	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,090.30 / $5,370.32	Facility		$1,047.13	$3,090.30	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $154.88 / $295.12	Professional		$89.13	$154.88	$295.12