Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.67 / $203.67 / $203.67	Facility		$203.67	$203.67	$203.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.35 / $203.67 / $394.62	Professional		$153.35	$203.67	$394.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $188.81 / $270.31 / $366.33	Professional		$188.81	$270.31	$366.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.97 / $244.71 / $403.63	Professional		$160.97	$244.71	$403.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $205.40 / $205.40 / $205.40	Facility		$205.40	$205.40	$205.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $184.56 / $184.56 / $184.56	Professional		$184.56	$184.56	$184.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.74 / $228.74 / $228.74	Facility		$228.74	$228.74	$228.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.21 / $240.26 / $442.43	Professional		$171.21	$240.26	$442.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.31 / $236.77 / $497.22	Professional		$197.31	$236.77	$497.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $191.66 / $267.06 / $377.60	Professional		$191.66	$267.06	$377.60
United Facility/Professional Professional Modifier Low / Median / High Price $162.99 / $208.01 / $371.51	Professional		$162.99	$208.01	$371.51