Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $263.03 / $537.03	Facility		$173.78	$263.03	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $302.00	Professional		$144.54	$218.78	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $169.82	Professional		$131.83	$131.83	$169.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $338.84 / $676.08	Facility		$263.03	$338.84	$676.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $263.03 / $436.52	Professional		$123.03	$263.03	$436.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $371.54 / $562.34	Facility		$316.23	$371.54	$562.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $338.84 / $354.81	Professional		$316.23	$338.84	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $512.86 / $794.33	Facility		$263.03	$512.86	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $234.42 / $794.33	Professional		$123.03	$234.42	$794.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $2,041.74	Professional		$234.42	$338.84	$2,041.74
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $436.52	Facility		$371.54	$371.54	$436.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $263.03	Facility		$234.42	$234.42	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $158.49 / $363.08	Professional		$109.65	$158.49	$363.08