Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.61 / $137.80 / $188.27	Facility		$120.61	$137.80	$188.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.42 / $148.10 / $300.06	Professional		$104.42	$148.10	$300.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $186.62 / $272.57	Professional		$121.00	$186.62	$272.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.41 / $152.63 / $285.07	Professional		$106.41	$152.63	$285.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.92 / $149.86 / $200.66	Facility		$117.92	$149.86	$200.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $137.66 / $172.09 / $225.33	Professional		$137.66	$172.09	$225.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.08 / $152.08 / $152.08	Facility		$152.08	$152.08	$152.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.94 / $163.38 / $303.12	Professional		$106.94	$163.38	$303.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.24 / $473.11	Professional		$100.00	$138.24	$473.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $400.32 / $400.32 / $411.30	Facility		$400.32	$400.32	$411.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $105.85 / $150.25 / $252.33	Professional		$105.85	$150.25	$252.33
United Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $174.48 / $304.92	Professional		$133.00	$174.48	$304.92