Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.61 / $110.00 / $136.81	Facility		$102.61	$110.00	$136.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.12 / $108.45 / $153.58	Professional		$83.12	$108.45	$153.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.74 / $111.03 / $213.96	Professional		$91.74	$111.03	$213.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $122.10 / $208.67	Professional		$74.09	$122.10	$208.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.37 / $126.46 / $175.71	Facility		$82.37	$126.46	$175.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.05 / $154.51 / $198.26	Professional		$98.05	$154.51	$198.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $121.00 / $216.30	Professional		$81.00	$121.00	$216.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.31 / $137.28 / $322.95	Professional		$115.31	$137.28	$322.95
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $205.08 / $230.38 / $411.83	Professional	22	$205.08	$230.38	$411.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $116.57 / $132.41 / $181.20	Professional		$116.57	$132.41	$181.20
United Facility/Professional Professional Modifier Low / Median / High Price $103.01 / $145.43 / $374.89	Professional		$103.01	$145.43	$374.89