Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.67 / $211.65 / $213.54	Facility		$197.67	$211.65	$213.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.60 / $221.65 / $278.10	Professional		$203.60	$221.65	$278.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.70 / $232.21 / $258.01	Professional		$213.70	$232.21	$258.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.99 / $207.49 / $207.49	Professional		$165.99	$207.49	$207.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $374.51 / $387.89 / $524.32	Facility		$374.51	$387.89	$524.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $65.81 / $65.81	Professional		$65.81	$65.81	$65.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.00 / $398.00 / $398.00	Professional		$398.00	$398.00	$398.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $137.18 / $207.49 / $207.49	Professional		$137.18	$207.49	$207.49
United Facility/Professional Professional Modifier Low / Median / High Price $207.49 / $207.49 / $207.49	Professional		$207.49	$207.49	$207.49