Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.38 / $157.38 / $373.87	Facility		$157.38	$157.38	$373.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.38 / $207.10 / $490.00	Professional		$157.38	$207.10	$490.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $149.13 / $245.26 / $495.00	Professional		$149.13	$245.26	$495.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.43 / $464.00 / $1,216.34	Facility		$331.43	$464.00	$1,216.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.28 / $293.68 / $569.59	Professional		$205.28	$293.68	$569.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $265.14 / $397.72 / $530.29	Facility		$265.14	$397.72	$530.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $281.72 / $331.43 / $464.00	Professional		$281.72	$331.43	$464.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.16 / $214.16 / $291.73	Facility		$214.16	$214.16	$291.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.34 / $209.79 / $361.50	Professional		$156.34	$209.79	$361.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.89 / $331.43 / $502.00	Professional		$251.89	$331.43	$502.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,663.61 / $2,040.23 / $3,500.00	Facility		$1,663.61	$2,040.23	$3,500.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $311.94 / $422.57 / $613.15	Professional		$311.94	$422.57	$613.15
United Facility/Professional Facility Modifier Low / Median / High Price $97.66 / $154.24 / $165.61	Facility		$97.66	$154.24	$165.61
United Facility/Professional Professional Modifier Low / Median / High Price $110.23 / $165.35 / $298.31	Professional		$110.23	$165.35	$298.31