Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.54 / $108.18 / $518.21	Facility		$45.54	$108.18	$518.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.54 / $59.12 / $113.16	Professional		$45.54	$59.12	$113.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.34 / $151.34 / $178.05	Professional		$151.34	$151.34	$178.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $134.26 / $351.95	Facility		$95.90	$134.26	$351.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.44 / $79.73 / $153.08	Professional		$44.44	$79.73	$153.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.52 / $90.03 / $177.42	Facility		$81.52	$90.03	$177.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.52 / $81.52 / $81.52	Professional		$81.52	$81.52	$81.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.92 / $59.92 / $59.92	Facility		$59.92	$59.92	$59.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.74 / $66.48 / $79.80	Professional		$43.74	$66.48	$79.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.23 / $95.90 / $133.18	Professional		$47.23	$95.90	$133.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $118.56 / $122.26 / $180.95	Professional		$118.56	$122.26	$180.95
United Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $45.85 / $78.94	Professional		$19.44	$45.85	$78.94