Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.13 / $163.16 / $252.47	Facility		$143.13	$163.16	$252.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.13 / $184.75 / $362.16	Professional		$143.13	$184.75	$362.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $163.10 / $284.33 / $321.38	Professional		$163.10	$284.33	$321.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.33 / $216.00 / $385.91	Professional		$152.33	$216.00	$385.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $194.09 / $228.34 / $336.52	Facility		$194.09	$228.34	$336.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $198.83 / $225.27 / $269.32	Professional		$198.83	$225.27	$269.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.85 / $253.88 / $398.77	Professional		$164.85	$253.88	$398.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.26 / $252.39 / $424.02	Professional		$168.26	$252.39	$424.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $152.94 / $224.56 / $322.23	Professional		$152.94	$224.56	$322.23
United Facility/Professional Professional Modifier Low / Median / High Price $177.88 / $226.46 / $356.46	Professional		$177.88	$226.46	$356.46