Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.78 / $131.54 / $732.58	Facility		$49.78	$131.54	$732.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.25 / $54.11 / $86.67	Professional		$46.25	$54.11	$86.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $44.92 / $44.92	Professional		$44.92	$44.92	$44.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.03 / $95.64 / $259.02	Facility		$54.03	$95.64	$259.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $36.97 / $146.87	Professional		$27.72	$36.97	$146.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.00 / $74.86 / $119.78	Facility		$47.00	$74.86	$119.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.66 / $48.66 / $74.86	Professional		$48.66	$48.66	$74.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.75 / $164.69 / $230.93	Facility		$66.75	$164.69	$230.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $91.27 / $114.09	Professional		$43.54	$91.27	$114.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.80 / $86.09 / $112.78	Professional		$81.80	$86.09	$112.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $206.16 / $247.61 / $293.27	Facility		$206.16	$247.61	$293.27
United Facility/Professional Professional Modifier Low / Median / High Price $41.17 / $50.99 / $101.97	Professional		$41.17	$50.99	$101.97