Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.76 / $126.37 / $220.99	Facility		$111.76	$126.37	$220.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.62 / $128.34 / $174.96	Professional		$107.62	$128.34	$174.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.10 / $151.10 / $151.10	Professional		$151.10	$151.10	$151.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.13 / $137.01 / $264.20	Professional		$84.13	$137.01	$264.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.09 / $77.73 / $94.83	Facility		$17.09	$77.73	$94.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.17 / $121.17 / $121.17	Facility		$121.17	$121.17	$121.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.23 / $161.75 / $324.75	Professional		$101.23	$161.75	$324.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.36 / $163.51 / $429.57	Professional		$138.36	$163.51	$429.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.71 / $107.69 / $214.98	Professional		$63.71	$107.69	$214.98
United Facility/Professional Professional Modifier Low / Median / High Price $107.97 / $156.43 / $310.57	Professional		$107.97	$156.43	$310.57