Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.12 / $131.28 / $254.67	Facility		$99.12	$131.28	$254.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.38 / $130.38 / $254.09	Professional		$87.38	$130.38	$254.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $170.00 / $235.93	Professional		$92.00	$170.00	$235.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.80 / $129.66 / $246.03	Professional		$87.80	$129.66	$246.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.41 / $123.81 / $165.72	Facility		$97.41	$123.81	$165.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119.32 / $149.15 / $195.05	Professional		$119.32	$149.15	$195.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.60 / $125.60 / $125.60	Facility		$125.60	$125.60	$125.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.16 / $139.38 / $254.88	Professional		$89.16	$139.38	$254.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $119.68 / $408.87	Professional		$100.00	$119.68	$408.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $88.26 / $127.46 / $218.64	Professional		$88.26	$127.46	$218.64
United Facility/Professional Professional Modifier Low / Median / High Price $113.75 / $148.13 / $265.10	Professional		$113.75	$148.13	$265.10