Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $131.83 / $263.03	Facility		$91.20	$131.83	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.36 / $302.00	Professional		$91.20	$151.36	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $131.83 / $213.80	Professional		$109.65	$131.83	$213.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $131.83 / $218.78	Professional		$91.20	$131.83	$218.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $131.83 / $173.78	Facility		$97.72	$131.83	$173.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $199.53	Professional		$123.03	$147.91	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $144.54 / $239.88	Professional		$95.50	$144.54	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $338.84	Professional		$89.13	$104.71	$338.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $257.04	Professional		$144.54	$199.53	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $117.49 / $134.90	Facility		$89.13	$117.49	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $131.83 / $213.80	Professional		$93.33	$131.83	$213.80