Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.28 / $20,840.96 / $50,534.40	Facility		$60.28	$20,840.96	$50,534.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.28 / $60.89 / $10,890.00	Professional		$60.28	$60.89	$10,890.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.57 / $108.72 / $108.72	Professional		$58.57	$108.72	$108.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.29 / $98.15 / $221.26	Facility		$60.29	$98.15	$221.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $60.29 / $61.49	Professional		$60.29	$60.29	$61.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.29 / $60.29 / $96.46	Facility		$60.29	$60.29	$96.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.56 / $60.29 / $96.46	Professional		$58.56	$60.29	$96.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.88 / $56.88 / $60.29	Facility		$56.88	$56.88	$60.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $60.29 / $72.19	Professional		$60.29	$60.29	$72.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.26 / $63.36 / $132.47	Professional		$50.26	$63.36	$132.47
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $25,692.27 / $28,810.79 / $44,092.01	Facility		$25,692.27	$28,810.79	$44,092.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.28 / $101.53 / $124.19	Professional		$57.28	$101.53	$124.19
United Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $62.70 / $75.36	Professional		$60.29	$62.70	$75.36