Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.63 / $463.30 / $861.00	Facility		$160.63	$463.30	$861.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.47 / $229.95 / $368.14	Professional		$154.47	$229.95	$368.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.00 / $363.00 / $363.00	Professional		$363.00	$363.00	$363.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.14 / $284.48 / $890.78	Facility		$127.14	$284.48	$890.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.98 / $127.14 / $394.13	Professional		$102.98	$127.14	$394.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.45 / $373.30 / $553.52	Facility		$257.45	$373.30	$553.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.45 / $308.94 / $334.69	Professional		$257.45	$308.94	$334.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.91 / $418.35 / $794.15	Facility		$240.91	$418.35	$794.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.62 / $211.76 / $770.12	Professional		$128.62	$211.76	$770.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.42 / $313.35 / $2,007.17	Professional		$191.42	$313.35	$2,007.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $316.66 / $321.81 / $370.73	Professional		$316.66	$321.81	$370.73
United Facility/Professional Professional Modifier Low / Median / High Price $71.78 / $154.47 / $470.36	Professional		$71.78	$154.47	$470.36