Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.91 / $166.07 / $648.38	Facility		$69.91	$166.07	$648.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.90 / $84.86 / $160.52	Professional		$69.90	$84.86	$160.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.47 / $108.94 / $191.39	Professional		$58.47	$108.94	$191.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.22 / $206.11 / $540.29	Facility		$147.22	$206.11	$540.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.79 / $122.41 / $235.03	Professional		$80.79	$122.41	$235.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.66 / $176.66 / $235.55	Facility		$124.66	$176.66	$235.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.14 / $157.05 / $206.11	Professional		$125.14	$157.05	$206.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.60 / $102.60 / $102.60	Facility		$102.60	$102.60	$102.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $99.42 / $182.25	Professional		$74.90	$99.42	$182.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.89 / $147.22 / $204.16	Professional		$111.89	$147.22	$204.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $182.01 / $184.03 / $187.70	Professional		$182.01	$184.03	$187.70
United Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $73.45 / $157.05	Professional		$48.96	$73.45	$157.05