Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.56 / $93.51 / $106.28	Facility		$92.56	$93.51	$106.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.73 / $102.34 / $164.39	Professional		$91.73	$102.34	$164.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.59 / $141.68 / $199.38	Professional		$99.59	$141.68	$199.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.52 / $146.41 / $216.72	Professional		$78.52	$146.41	$216.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $113.05 / $113.05 / $113.05	Facility		$113.05	$113.05	$113.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.94 / $137.83 / $246.28	Professional		$103.94	$137.83	$246.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.06 / $133.61 / $330.63	Professional		$113.06	$133.61	$330.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $98.80 / $149.74 / $194.19	Professional		$98.80	$149.74	$194.19
United Facility/Professional Professional Modifier Low / Median / High Price $97.33 / $139.41 / $239.76	Professional		$97.33	$139.41	$239.76