Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.36 / $134.90 / $176.81	Facility		$99.36	$134.90	$176.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.20 / $113.99 / $196.00	Professional		$78.20	$113.99	$196.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.00 / $203.65 / $262.50	Professional		$142.00	$203.65	$262.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.73 / $114.55 / $196.49	Professional		$82.73	$114.55	$196.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.48 / $116.28 / $155.63	Facility		$91.48	$116.28	$155.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $103.65 / $129.56 / $169.93	Professional		$103.65	$129.56	$169.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.95 / $117.95 / $117.95	Facility		$117.95	$117.95	$117.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.55 / $141.06 / $235.84	Professional		$93.55	$141.06	$235.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.05 / $131.63 / $241.68	Professional		$94.05	$131.63	$241.68
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $734.00 / $734.00 / $734.00	Facility		$734.00	$734.00	$734.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $170.00 / $302.60	Professional		$105.00	$170.00	$302.60
United Facility/Professional Professional Modifier Low / Median / High Price $112.18 / $144.05 / $222.69	Professional		$112.18	$144.05	$222.69