Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.32 / $58.32 / $106.49	Facility		$58.32	$58.32	$106.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.84 / $67.81 / $164.54	Professional		$57.84	$67.81	$164.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.58 / $87.85 / $128.78	Professional		$67.58	$87.85	$128.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.23 / $84.89 / $149.99	Professional		$67.23	$84.89	$149.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.42 / $94.61 / $135.16	Facility		$80.42	$94.61	$135.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $82.74 / $93.51 / $111.62	Professional		$82.74	$93.51	$111.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.42 / $98.92 / $153.69	Professional		$70.42	$98.92	$153.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.58 / $104.37 / $596.00	Professional		$69.58	$104.37	$596.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $101.90 / $130.10 / $182.30	Professional		$101.90	$130.10	$182.30
United Facility/Professional Professional Modifier Low / Median / High Price $72.34 / $88.84 / $145.81	Professional		$72.34	$88.84	$145.81