Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.92 / $100.63 / $131.60	Facility		$77.92	$100.63	$131.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.88 / $100.63 / $184.15	Professional		$62.88	$100.63	$184.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.99 / $154.97 / $197.44	Professional		$99.99	$154.97	$197.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.52 / $110.48 / $203.28	Professional		$68.52	$110.48	$203.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.44 / $95.84 / $128.47	Facility		$75.44	$95.84	$128.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.99 / $125.59 / $163.22	Professional		$99.99	$125.59	$163.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.37 / $97.37 / $97.37	Facility		$97.37	$97.37	$97.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.97 / $114.07 / $205.86	Professional		$72.97	$114.07	$205.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.56 / $106.26 / $345.49	Professional		$84.56	$106.26	$345.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.28 / $106.26 / $178.34	Professional		$68.28	$106.26	$178.34
United Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $128.19 / $212.58	Professional		$95.82	$128.19	$212.58