Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.15 / $109.07 / $147.12	Facility		$88.15	$109.07	$147.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.44 / $109.07 / $226.77	Professional		$71.44	$109.07	$226.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.18 / $121.51 / $202.70	Professional		$109.18	$121.51	$202.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.67 / $119.98 / $222.49	Professional		$77.67	$119.98	$222.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.88 / $109.13 / $146.21	Facility		$85.88	$109.13	$146.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.18 / $136.69 / $178.11	Professional		$109.18	$136.69	$178.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.81 / $110.81 / $110.81	Facility		$110.81	$110.81	$110.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $126.02 / $234.17	Professional		$79.26	$126.02	$234.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.29 / $115.00 / $374.48	Professional		$96.29	$115.00	$374.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.76 / $115.72 / $199.33	Professional		$77.76	$115.72	$199.33
United Facility/Professional Professional Modifier Low / Median / High Price $104.34 / $135.77 / $228.77	Professional		$104.34	$135.77	$228.77