Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.38 / $114.38 / $152.82	Facility		$98.38	$114.38	$152.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.23 / $126.37 / $254.56	Professional		$85.23	$126.37	$254.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.39 / $143.54 / $218.73	Professional		$90.39	$143.54	$218.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.16 / $125.38 / $237.15	Professional		$87.16	$125.38	$237.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.69 / $122.93 / $164.48	Facility		$96.69	$122.93	$164.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.50 / $143.13 / $187.43	Professional		$114.50	$143.13	$187.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.66 / $124.66 / $124.66	Facility		$124.66	$124.66	$124.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.91 / $133.85 / $252.00	Professional		$88.91	$133.85	$252.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $108.47 / $392.71	Professional		$90.00	$108.47	$392.71
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $124.48 / $124.48 / $124.48	Facility		$124.48	$124.48	$124.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $126.55 / $203.28	Professional		$87.56	$126.55	$203.28
United Facility/Professional Professional Modifier Low / Median / High Price $108.96 / $142.77 / $248.06	Professional		$108.96	$142.77	$248.06