Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.95 / $110.85 / $110.85	Facility		$66.95	$110.85	$110.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $111.53 / $193.71	Professional		$73.42	$111.53	$193.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.42 / $102.42 / $102.42	Professional		$102.42	$102.42	$102.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.76 / $124.60 / $237.11	Professional		$46.76	$124.60	$237.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.06 / $129.66 / $145.59	Facility		$88.06	$129.66	$145.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.41 / $124.61 / $130.50	Professional		$100.41	$124.61	$130.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $52.00 / $52.00	Facility		$52.00	$52.00	$52.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.55 / $104.83 / $245.93	Professional		$57.55	$104.83	$245.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.99 / $124.61 / $158.59	Professional		$56.99	$124.61	$158.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $116.86 / $161.99 / $209.57	Professional		$116.86	$161.99	$209.57
United Facility/Professional Professional Modifier Low / Median / High Price $61.64 / $109.65 / $291.58	Professional		$61.64	$109.65	$291.58