Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.68 / $35.68 / $106.53	Facility		$35.68	$35.68	$106.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.75 / $40.04 / $65.51	Professional		$31.75	$40.04	$65.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.05 / $115.05 / $115.05	Professional		$115.05	$115.05	$115.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.96 / $82.54 / $216.38	Facility		$58.96	$82.54	$216.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.06 / $76.06 / $130.72	Professional		$53.06	$76.06	$130.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.54 / $58.96 / $115.05	Facility		$42.54	$58.96	$115.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $52.17 / $52.17	Facility		$52.17	$52.17	$52.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.34 / $52.17 / $59.78	Professional		$44.34	$52.17	$59.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.43 / $58.96 / $127.00	Professional		$40.43	$58.96	$127.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.23 / $102.94 / $112.02	Professional		$100.23	$102.94	$112.02
United Facility/Professional Professional Modifier Low / Median / High Price $31.41 / $47.11 / $74.98	Professional		$31.41	$47.11	$74.98