Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.74 / $82.38 / $210.82	Facility		$29.74	$82.38	$210.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.47 / $77.56 / $137.93	Professional		$29.47	$77.56	$137.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.62 / $147.62 / $147.62	Professional		$147.62	$147.62	$147.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.82 / $127.22 / $268.74	Professional		$27.82	$127.22	$268.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $179.27 / $179.27 / $179.27	Facility		$179.27	$179.27	$179.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $26.17 / $26.17	Professional		$26.17	$26.17	$26.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.38 / $46.38 / $46.38	Facility		$46.38	$46.38	$46.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $83.16 / $175.25	Professional		$31.13	$83.16	$175.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $91.44 / $200.37	Professional		$30.70	$91.44	$200.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.31 / $82.10 / $163.00	Professional		$29.31	$82.10	$163.00
United Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $104.75 / $228.14	Professional		$76.20	$104.75	$228.14