Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.51 / $82.66 / $94.38	Facility		$72.51	$82.66	$94.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.62 / $88.87 / $119.75	Professional		$68.62	$88.87	$119.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.70 / $148.38 / $178.70	Professional		$88.70	$148.38	$178.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.03 / $104.47 / $162.22	Professional		$60.03	$104.47	$162.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.69 / $81.00 / $116.67	Facility		$54.69	$81.00	$116.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.11 / $116.78 / $149.80	Professional		$74.11	$116.78	$149.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $102.00 / $153.19	Professional		$71.00	$102.00	$153.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.56 / $98.24 / $513.20	Professional		$76.56	$98.24	$513.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.26 / $119.24 / $191.64	Professional		$95.26	$119.24	$191.64
United Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $125.78 / $266.95	Professional		$94.00	$125.78	$266.95