Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $154.88 / $208.93	Facility		$131.83	$154.88	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $173.78 / $446.68	Professional		$117.49	$173.78	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $269.15	Professional		$128.82	$177.83	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $288.40	Professional		$138.04	$186.21	$288.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $186.21 / $269.15	Facility		$158.49	$186.21	$269.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $309.03	Professional		$128.82	$165.96	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $218.78 / $316.23	Professional		$134.90	$218.78	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $363.08	Professional		$141.25	$186.21	$363.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $302.00 / $398.11	Professional		$128.82	$302.00	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $331.13	Professional		$147.91	$194.98	$331.13