Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.20 / $117.21 / $133.13	Facility		$96.20	$117.21	$133.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.54 / $117.63 / $165.47	Professional		$93.54	$117.63	$165.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.73 / $176.00 / $239.67	Professional		$98.73	$176.00	$239.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.11 / $139.99 / $216.01	Professional		$84.11	$139.99	$216.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.42 / $113.96 / $165.17	Facility		$77.42	$113.96	$165.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.07 / $156.12 / $200.60	Professional		$99.07	$156.12	$200.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $134.00 / $200.32	Professional		$92.00	$134.00	$200.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $131.75 / $556.00	Professional		$108.39	$131.75	$556.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $124.88 / $161.19 / $255.08	Professional		$124.88	$161.19	$255.08
United Facility/Professional Professional Modifier Low / Median / High Price $123.62 / $171.23 / $333.52	Professional		$123.62	$171.23	$333.52