Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.48 / $271.56 / $3,763.15	Facility		$102.48	$271.56	$3,763.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.93 / $130.66 / $280.89	Professional		$98.93	$130.66	$280.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.40 / $129.36 / $256.66	Professional		$92.40	$129.36	$256.66
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 $97.34 / $155.09 / $267.95	Professional		$97.34	$155.09	$267.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.04 / $139.30 / $275.27	Facility		$102.04	$139.30	$275.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.96 / $152.93 / $164.70	Professional		$117.96	$152.93	$164.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.89 / $167.40 / $2,500.00	Facility		$85.89	$167.40	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.54 / $183.36 / $303.33	Professional		$119.54	$183.36	$303.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.28 / $164.31 / $350.99	Professional		$115.28	$164.31	$350.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $96.07 / $160.44 / $225.56	Professional		$96.07	$160.44	$225.56
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 $120.69 / $191.76 / $331.62	Professional		$120.69	$191.76	$331.62