Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.11 / $87.31 / $136.76	Facility		$81.11	$87.31	$136.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $99.76 / $196.90	Professional		$80.45	$99.76	$196.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.89 / $187.91 / $212.35	Professional		$110.89	$187.91	$212.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.06 / $119.29 / $228.18	Professional		$100.06	$119.29	$228.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $118.36 / $149.90 / $222.36	Facility		$118.36	$149.90	$222.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.44 / $148.06 / $177.21	Professional		$131.44	$148.06	$177.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.22 / $138.54 / $230.21	Professional		$89.22	$138.54	$230.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.18 / $166.77 / $280.17	Professional		$111.18	$166.77	$280.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $149.90 / $201.60	Professional		$101.72	$149.90	$201.60
United Facility/Professional Professional Modifier Low / Median / High Price $99.08 / $119.89 / $229.76	Professional		$99.08	$119.89	$229.76