Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $323.59 / $1,096.48	Facility		$69.18	$323.59	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $79.43 / $186.21	Professional		$69.18	$79.43	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $316.23	Professional		$81.28	$114.82	$316.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $77.62 / $112.20	Professional		$66.07	$77.62	$112.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $93.33 / $144.54	Facility		$75.86	$93.33	$144.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $72.44 / $109.65	Professional		$60.26	$72.44	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $186.21	Professional		$75.86	$107.15	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $91.20 / $144.54	Professional		$72.44	$91.20	$144.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $102.33 / $169.82	Professional		$74.13	$102.33	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $186.21	Professional		$72.44	$104.71	$186.21