Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.31 / $212.50 / $1,061.79	Facility		$106.31	$212.50	$1,061.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.04 / $116.95 / $700.00	Professional		$105.04	$116.95	$700.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.69 / $165.17 / $402.50	Professional		$85.69	$165.17	$402.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $114.35 / $120.70	Professional		$75.00	$114.35	$120.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $137.10 / $159.94 / $206.40	Facility		$137.10	$159.94	$206.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $258.58 / $258.58 / $258.58	Professional		$258.58	$258.58	$258.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.99 / $109.99 / $109.99	Facility		$109.99	$109.99	$109.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.99 / $109.99 / $109.99	Professional		$109.99	$109.99	$109.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.84 / $259.68 / $274.58	Professional		$129.84	$259.68	$274.58
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,312.06 / $2,208.61 / $2,606.31	Facility		$1,312.06	$2,208.61	$2,606.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $198.83 / $278.36 / $303.79	Professional		$198.83	$278.36	$303.79
United Facility/Professional Professional Modifier Low / Median / High Price $450.58 / $450.58 / $487.35	Professional		$450.58	$450.58	$487.35