Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.76 / $147.83 / $226.95	Facility		$116.76	$147.83	$226.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.37 / $156.03 / $331.57	Professional		$124.37	$156.03	$331.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.94 / $240.62 / $573.66	Professional		$128.94	$240.62	$573.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.37 / $186.41 / $325.81	Professional		$128.37	$186.41	$325.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $153.44 / $180.52 / $257.88	Facility		$153.44	$180.52	$257.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.97 / $178.64 / $213.39	Professional		$158.97	$178.64	$213.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.99 / $219.17 / $316.89	Professional		$137.99	$219.17	$316.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.49 / $200.24 / $336.39	Professional		$133.49	$200.24	$336.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $278.39 / $402.20	Professional		$128.00	$278.39	$402.20
United Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $194.69 / $304.10	Professional		$155.47	$194.69	$304.10