Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.92 / $96.55 / $118.70	Facility		$77.92	$96.55	$118.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.01 / $96.49 / $175.04	Professional		$64.01	$96.49	$175.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.70 / $129.19 / $196.00	Professional		$95.70	$129.19	$196.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.52 / $102.88 / $196.19	Professional		$68.52	$102.88	$196.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.44 / $95.84 / $128.47	Facility		$75.44	$95.84	$128.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.70 / $120.00 / $156.21	Professional		$95.70	$120.00	$156.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.37 / $97.37 / $97.37	Facility		$97.37	$97.37	$97.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.17 / $110.08 / $199.44	Professional		$72.17	$110.08	$199.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.56 / $95.70 / $331.50	Professional		$84.56	$95.70	$331.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.28 / $101.43 / $170.43	Professional		$68.28	$101.43	$170.43
United Facility/Professional Professional Modifier Low / Median / High Price $90.05 / $118.55 / $197.25	Professional		$90.05	$118.55	$197.25