Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.92 / $96.24 / $126.10	Facility		$77.92	$96.24	$126.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.48 / $96.24 / $191.56	Professional		$63.48	$96.24	$191.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.25 / $129.19 / $210.00	Professional		$92.25	$129.19	$210.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.52 / $101.96 / $195.56	Professional		$68.52	$101.96	$195.56
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 $71.98 / $110.92 / $198.81	Professional		$71.98	$110.92	$198.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.56 / $95.70 / $330.41	Professional		$84.56	$95.70	$330.41
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 $89.76 / $120.60 / $207.21	Professional		$89.76	$120.60	$207.21