Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,698.24 / $4,570.88	Facility		$416.87	$1,698.24	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $380.19 / $933.25	Professional		$17.78	$380.19	$933.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $40.74	Professional		$9.77	$9.77	$40.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $22.91 / $60.26	Professional		$12.30	$22.91	$60.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $28.18 / $42.66	Facility		$26.92	$28.18	$42.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $26.92	Professional		$23.99	$23.99	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $33.88 / $91.20	Professional		$11.75	$33.88	$91.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $35.48 / $177.83	Professional		$20.89	$35.48	$177.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $37.15 / $48.98	Professional		$20.89	$37.15	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $30.20	Facility		$25.12	$25.12	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $28.18 / $66.07	Professional		$13.49	$28.18	$66.07