Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $234.42 / $524.81	Facility		$47.86	$234.42	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.10 / $141.25	Professional		$74.13	$87.10	$141.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $100.00 / $120.23	Professional		$25.70	$100.00	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $3.39 / $5.75	Professional		$2.51	$3.39	$5.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $380.19	Professional		$257.04	$257.04	$380.19
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $223.87 / $239.88	Facility		$213.80	$223.87	$239.88