Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $134.90 / $251.19	Facility		$64.57	$134.90	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $144.54	Professional		$57.54	$75.86	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $104.71	Professional		$50.12	$50.12	$104.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $95.50 / $125.89	Facility		$47.86	$95.50	$125.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $109.65 / $169.82	Professional		$36.31	$109.65	$169.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $104.71 / $158.49	Facility		$89.13	$104.71	$158.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $97.72 / $100.00	Professional		$89.13	$97.72	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $120.23 / $223.87	Facility		$74.13	$120.23	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $75.86 / $239.88	Professional		$37.15	$75.86	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $575.44	Professional		$67.61	$97.72	$575.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $158.49	Professional		$74.13	$91.20	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $67.61 / $89.13	Facility		$58.88	$67.61	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $50.12 / $104.71	Professional		$30.90	$50.12	$104.71