Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.77 / $209.30 / $314.39	Facility		$37.77	$209.30	$314.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $44.43 / $98.67	Professional		$28.85	$44.43	$98.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $73.61 / $74.89	Professional		$39.28	$73.61	$74.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,139.92 / $4,143.39	Facility		$734.14	$2,139.92	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $42.89 / $74.62	Professional		$28.84	$42.89	$74.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.13 / $41.24 / $81.50	Facility		$30.13	$41.24	$81.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.96 / $50.65 / $54.54	Professional		$38.96	$50.65	$54.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.24 / $49.24 / $2,500.00	Facility		$49.24	$49.24	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.71 / $54.63 / $103.24	Professional		$32.71	$54.63	$103.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.13 / $51.55 / $104.88	Professional		$34.13	$51.55	$104.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.86 / $49.78 / $76.69	Professional		$29.86	$49.78	$76.69
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.17 / $54.61 / $95.38	Professional		$36.17	$54.61	$95.38