Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.00 / $109.50 / $146.00	Facility		$98.00	$109.50	$146.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.23 / $124.37 / $165.00	Professional		$99.23	$124.37	$165.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.80 / $100.43 / $213.70	Professional		$88.80	$100.43	$213.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.31 / $146.60 / $241.54	Professional		$95.31	$146.60	$241.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.04 / $144.97 / $209.15	Facility		$98.04	$144.97	$209.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $118.78 / $187.16 / $239.68	Professional		$118.78	$187.16	$239.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $154.00 / $258.75	Professional		$101.00	$154.00	$258.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.26 / $163.66 / $413.89	Professional		$137.26	$163.66	$413.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $130.32 / $156.22 / $209.48	Professional		$130.32	$156.22	$209.48
United Facility/Professional Professional Modifier Low / Median / High Price $106.50 / $146.94 / $306.95	Professional		$106.50	$146.94	$306.95