Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.63 / $418.87 / $886.80	Facility		$66.63	$418.87	$886.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $42.69 / $165.28	Professional		$40.65	$42.69	$165.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $41.88 / $54.88	Professional		$40.65	$41.88	$54.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $44.11 / $44.11	Facility		$40.65	$44.11	$44.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.45 / $39.53 / $41.20	Professional		$37.45	$39.53	$41.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $40.65 / $70.54	Facility		$40.65	$40.65	$70.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $94.26	Professional		$40.65	$40.65	$94.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.35 / $38.35 / $40.65	Facility		$38.35	$38.35	$40.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $51.78	Professional		$40.65	$40.65	$51.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.60 / $49.93 / $213.28	Professional		$41.60	$49.93	$213.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.21 / $50.53 / $75.20	Professional		$40.21	$50.53	$75.20
United Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $149.02	Professional		$40.65	$40.65	$149.02