Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $229.00 / $568.02	Facility		$45.71	$229.00	$568.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.27 / $59.18 / $116.45	Professional		$45.27	$59.18	$116.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.53 / $74.02 / $170.00	Professional		$48.53	$74.02	$170.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.20 / $105.28 / $275.98	Facility		$75.20	$105.28	$275.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.85 / $83.43 / $167.55	Professional		$59.85	$83.43	$167.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.16 / $98.69 / $148.04	Facility		$60.16	$98.69	$148.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $75.20 / $105.28	Professional		$63.92	$75.20	$105.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.14 / $67.14 / $76.52	Facility		$67.14	$67.14	$76.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $63.44 / $78.75	Professional		$49.01	$63.44	$78.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.15 / $75.20 / $138.62	Professional		$57.15	$75.20	$138.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.89 / $96.37 / $139.12	Professional		$68.89	$96.37	$139.12
United Facility/Professional Professional Modifier Low / Median / High Price $40.64 / $58.49 / $83.21	Professional		$40.64	$58.49	$83.21