Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $104.71 / $120.23	Facility		$77.62	$104.71	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $123.03 / $269.15	Professional		$77.62	$123.03	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $186.21	Professional		$95.50	$117.49	$186.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $169.82	Professional		$75.86	$107.15	$169.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $112.20 / $147.91	Facility		$83.18	$112.20	$147.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.89 / $169.82	Professional		$104.71	$125.89	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $204.17	Professional		$79.43	$120.23	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $102.33 / $245.47	Professional		$89.13	$102.33	$245.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $218.78	Professional		$123.03	$165.96	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $95.50 / $109.65	Facility		$70.79	$95.50	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $177.83	Professional		$75.86	$112.20	$177.83