Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.89 / $90.34 / $106.19	Facility		$70.89	$90.34	$106.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $89.10 / $162.22	Professional		$57.75	$89.10	$162.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.62 / $118.09 / $164.09	Professional		$86.62	$118.09	$164.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.51 / $94.53 / $182.26	Professional		$62.51	$94.53	$182.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.83 / $87.42 / $117.23	Facility		$68.83	$87.42	$117.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.70 / $112.69 / $146.46	Professional		$89.70	$112.69	$146.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $88.85	Facility		$88.85	$88.85	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.87 / $100.25 / $184.85	Professional		$63.87	$100.25	$184.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.14 / $90.00 / $310.14	Professional		$77.14	$90.00	$310.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.29 / $93.86 / $160.03	Professional		$62.29	$93.86	$160.03
United Facility/Professional Professional Modifier Low / Median / High Price $82.52 / $112.22 / $184.38	Professional		$82.52	$112.22	$184.38