Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $112.20 / $323.59	Facility		$42.66	$112.20	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $42.66 / $85.11	Professional		$30.90	$42.66	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $32.36 / $66.07	Professional		$28.18	$32.36	$66.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $60.26 / $81.28	Facility		$30.90	$60.26	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $36.31 / $95.50	Professional		$23.44	$36.31	$95.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $38.02 / $67.61	Facility		$30.20	$38.02	$67.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $46.77	Professional		$30.20	$30.20	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $75.86 / $141.25	Facility		$46.77	$75.86	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $57.54 / $72.44	Professional		$28.84	$57.54	$72.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $66.07 / $169.82	Professional		$51.29	$66.07	$169.82
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $426.58	Facility		$363.08	$363.08	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $42.66 / $56.23	Facility		$27.54	$42.66	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $31.62 / $85.11	Professional		$19.95	$31.62	$85.11