Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.85 / $78.80 / $24,571.91	Facility		$41.85	$78.80	$24,571.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.85 / $42.16 / $50.64	Professional		$41.85	$42.16	$50.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $41.11	Professional		$41.11	$41.11	$41.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.16 / $68.64 / $154.72	Facility		$42.16	$68.64	$154.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $42.16 / $43.00	Professional		$42.16	$42.16	$43.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.16 / $42.16 / $67.45	Facility		$42.16	$42.16	$67.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.85 / $42.16 / $67.45	Professional		$41.85	$42.16	$67.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.77 / $39.77 / $42.16	Facility		$39.77	$39.77	$42.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $42.16 / $49.72	Professional		$42.16	$42.16	$49.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $45.07 / $91.00	Professional		$32.11	$45.07	$91.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $71.67 / $86.85	Professional		$40.04	$71.67	$86.85
United Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $80.16 / $80.16	Facility		$41.11	$80.16	$80.16
United Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $44.46 / $52.87	Professional		$42.16	$44.46	$52.87