Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.92 / $92.91 / $220.71	Facility		$84.92	$92.91	$220.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.02 / $104.41 / $145.53	Professional		$88.02	$104.41	$145.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.72 / $146.72 / $146.72	Professional		$146.72	$146.72	$146.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.64 / $273.89 / $718.00	Facility		$195.64	$273.89	$718.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.73 / $162.66 / $312.33	Professional		$96.73	$162.66	$312.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $161.44 / $166.29 / $361.93	Facility		$161.44	$166.29	$361.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $166.29 / $166.29 / $166.29	Professional		$166.29	$166.29	$166.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.63 / $129.63 / $129.63	Facility		$129.63	$129.63	$129.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $94.64 / $225.75	Professional		$94.64	$94.64	$225.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.69 / $195.64 / $271.55	Professional		$148.69	$195.64	$271.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $332.59 / $339.24 / $369.17	Professional		$332.59	$339.24	$369.17
United Facility/Professional Professional Modifier Low / Median / High Price $65.06 / $97.60 / $194.59	Professional		$65.06	$97.60	$194.59