Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $112.20 / $144.54	Facility		$93.33	$112.20	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $131.83 / $288.40	Professional		$83.18	$131.83	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $194.98	Professional		$81.28	$125.89	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $204.17	Professional		$100.00	$131.83	$204.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $134.90 / $194.98	Facility		$114.82	$134.90	$194.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $223.87	Professional		$93.33	$120.23	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $229.09	Professional		$95.50	$151.36	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $263.03	Professional		$100.00	$134.90	$263.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $208.93 / $281.84	Professional		$100.00	$208.93	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $229.09	Professional		$100.00	$134.90	$229.09