Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $69.37 / $164.79	Facility		$69.37	$69.37	$164.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $91.28 / $194.36	Professional		$69.37	$91.28	$194.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $108.09 / $215.52	Professional		$65.73	$108.09	$215.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.07 / $204.50 / $536.08	Facility		$146.07	$204.50	$536.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.88 / $121.46 / $233.20	Professional		$77.88	$121.46	$233.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.16 / $175.28 / $254.32	Facility		$124.16	$175.28	$254.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $124.16 / $171.23 / $219.11	Professional		$124.16	$171.23	$219.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.80 / $96.73 / $96.73	Facility		$95.80	$96.73	$96.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $96.73 / $198.38	Professional		$70.61	$96.73	$198.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.01 / $146.07 / $220.76	Professional		$111.01	$146.07	$220.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $149.54 / $186.87 / $275.63	Professional		$149.54	$186.87	$275.63
United Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $72.88 / $120.23	Professional		$48.58	$72.88	$120.23