Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.63 / $107.51 / $139.47	Facility		$90.63	$107.51	$139.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.98 / $115.22 / $239.85	Professional		$77.98	$115.22	$239.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $162.15 / $205.85	Professional		$100.00	$162.15	$205.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $114.59 / $222.90	Professional		$80.20	$114.59	$222.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.05 / $113.21 / $151.47	Facility		$89.05	$113.21	$151.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.70 / $134.63 / $176.16	Professional		$107.70	$134.63	$176.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.80 / $114.80 / $114.80	Facility		$114.80	$114.80	$114.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $123.18 / $230.02	Professional		$81.81	$123.18	$230.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $108.00 / $369.13	Professional		$90.00	$108.00	$369.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $88.07 / $88.07 / $88.07	Facility		$88.07	$88.07	$88.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $80.68 / $116.07 / $191.19	Professional		$80.68	$116.07	$191.19
United Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $132.15 / $225.76	Professional		$101.00	$132.15	$225.76