Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.02 / $196.89 / $22,426.96	Facility		$91.02	$196.89	$22,426.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.02 / $91.34 / $110.13	Professional		$91.02	$91.34	$110.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.34 / $148.69 / $335.22	Facility		$91.34	$148.69	$335.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $91.34 / $93.16	Professional		$91.34	$91.34	$93.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.34 / $91.34 / $146.13	Facility		$91.34	$91.34	$146.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.02 / $91.34 / $146.13	Professional		$91.02	$91.34	$146.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.17 / $86.17 / $91.34	Facility		$86.17	$86.17	$91.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $91.34 / $115.89	Professional		$91.34	$91.34	$115.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.86 / $97.04 / $201.00	Professional		$77.86	$97.04	$201.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.77 / $155.28 / $188.15	Professional		$86.77	$155.28	$188.15
United Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $94.08 / $115.92	Professional		$91.34	$94.08	$115.92