Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.36 / $147.66 / $28,032.48	Facility		$74.36	$147.66	$28,032.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.45 / $90.08	Professional		$74.36	$74.45	$90.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $138.22	Professional		$117.49	$117.49	$138.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.36 / $118.98 / $272.89	Facility		$74.36	$118.98	$272.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.36 / $75.84	Professional		$74.36	$74.36	$75.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.36 / $74.36 / $119.12	Facility		$74.36	$74.36	$119.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.45 / $118.98	Professional		$74.36	$74.45	$118.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.15 / $70.15 / $74.36	Facility		$70.15	$70.15	$74.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.36 / $90.05	Professional		$74.36	$74.36	$90.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.67 / $80.20 / $172.00	Professional		$59.67	$80.20	$172.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.64 / $126.41 / $153.16	Professional		$70.64	$126.41	$153.16
United Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $77.77 / $95.18	Professional		$73.37	$77.77	$95.18