Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.75 / $149.35 / $194.40	Facility		$129.75	$149.35	$194.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.18 / $152.16 / $310.70	Professional		$108.18	$152.16	$310.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.10 / $168.19 / $293.89	Professional		$150.10	$168.19	$293.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.30 / $165.26 / $310.33	Professional		$114.30	$165.26	$310.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $171.21 / $171.21 / $171.21	Facility		$171.21	$171.21	$171.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.10 / $112.10 / $112.10	Professional		$112.10	$112.10	$112.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.28 / $163.28 / $163.28	Facility		$163.28	$163.28	$163.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.19 / $178.20 / $325.61	Professional		$116.19	$178.20	$325.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $150.10 / $512.75	Professional		$100.00	$150.10	$512.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.39 / $161.32 / $265.58	Professional		$114.39	$161.32	$265.58
United Facility/Professional Professional Modifier Low / Median / High Price $144.63 / $192.10 / $336.74	Professional		$144.63	$192.10	$336.74