Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.43 / $133.51 / $235.63	Facility		$49.43	$133.51	$235.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.43 / $76.45 / $136.02	Professional		$49.43	$76.45	$136.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.81 / $104.81 / $104.81	Professional		$104.81	$104.81	$104.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.65 / $94.96 / $257.18	Facility		$53.65	$94.96	$257.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $75.33 / $164.27	Professional		$26.94	$75.33	$164.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.33 / $104.06 / $159.81	Facility		$74.33	$104.06	$159.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.33 / $89.20 / $96.63	Professional		$74.33	$89.20	$96.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $120.78 / $227.13	Facility		$66.00	$120.78	$227.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.03 / $102.59 / $308.45	Professional		$37.03	$102.59	$308.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.33 / $102.06 / $579.27	Professional		$74.33	$102.06	$579.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.94 / $104.06 / $137.51	Professional		$89.94	$104.06	$137.51
United Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $49.63 / $135.07	Professional		$31.22	$49.63	$135.07