Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.73 / $68.09 / $316.82	Facility		$24.73	$68.09	$316.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.74 / $58.02 / $104.54	Professional		$24.74	$58.02	$104.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.46 / $100.46 / $100.46	Professional		$100.46	$100.46	$100.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $69.20 / $122.37	Professional		$27.19	$69.20	$122.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.91 / $34.20 / $43.02	Facility		$26.91	$34.20	$43.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.41 / $95.00 / $121.48	Professional		$74.41	$95.00	$121.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.21 / $42.21 / $42.21	Facility		$42.21	$42.21	$42.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.67 / $76.34 / $153.38	Professional		$30.67	$76.34	$153.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $81.48 / $180.70	Professional		$27.57	$81.48	$180.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $145.43 / $195.30 / $195.30	Professional		$145.43	$195.30	$195.30
United Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $97.69 / $175.58	Professional		$69.84	$97.69	$175.58