Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.34 / $123.87 / $171.36	Facility		$103.34	$123.87	$171.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.06 / $127.55 / $260.00	Professional		$85.06	$127.55	$260.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.69 / $169.92 / $242.68	Professional		$123.69	$169.92	$242.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.56 / $134.88 / $254.13	Professional		$91.56	$134.88	$254.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.55 / $129.08 / $172.79	Facility		$101.55	$129.08	$172.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.40 / $154.25 / $201.63	Professional		$123.40	$154.25	$201.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.94 / $130.94 / $130.94	Facility		$130.94	$130.94	$130.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.97 / $144.52 / $263.87	Professional		$96.97	$144.52	$263.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $114.00 / $421.69	Professional		$90.00	$114.00	$421.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.99 / $132.87 / $219.07	Professional		$91.99	$132.87	$219.07
United Facility/Professional Professional Modifier Low / Median / High Price $118.59 / $155.58 / $270.32	Professional		$118.59	$155.58	$270.32