Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.43 / $120.37 / $284.38	Facility		$61.43	$120.37	$284.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.79 / $60.62 / $74.09	Professional		$44.79	$60.62	$74.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $40.42 / $40.42	Professional		$40.42	$40.42	$40.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.03 / $86.06 / $233.07	Facility		$41.03	$86.06	$233.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $33.26 / $124.74	Professional		$21.74	$33.26	$124.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.78 / $67.36 / $107.78	Facility		$43.78	$67.36	$107.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $43.78 / $67.36	Professional		$43.78	$43.78	$67.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.04 / $148.19 / $207.94	Facility		$63.04	$148.19	$207.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.73 / $82.19 / $102.74	Professional		$47.73	$82.19	$102.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $77.45 / $101.48	Professional		$48.60	$77.45	$101.48
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $155.38 / $186.67 / $215.74	Facility		$155.38	$186.67	$215.74
United Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $45.95 / $117.91	Professional		$17.01	$45.95	$117.91