Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.87 / $105.02 / $148.13	Facility		$82.87	$105.02	$148.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.02 / $104.19 / $217.83	Professional		$70.02	$104.19	$217.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.09 / $141.87 / $204.26	Professional		$105.09	$141.87	$204.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.26 / $115.60 / $214.37	Professional		$73.26	$115.60	$214.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.03 / $102.98 / $137.90	Facility		$81.03	$102.98	$137.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $105.09 / $131.53 / $171.39	Professional		$105.09	$131.53	$171.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.52 / $104.52 / $104.52	Facility		$104.52	$104.52	$104.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $122.51 / $224.49	Professional		$78.08	$122.51	$224.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.86 / $111.52 / $360.57	Professional		$90.86	$111.52	$360.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $73.39 / $111.52 / $186.75	Professional		$73.39	$111.52	$186.75
United Facility/Professional Professional Modifier Low / Median / High Price $101.26 / $134.01 / $229.78	Professional		$101.26	$134.01	$229.78