Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.13 / $105.15 / $129.47	Facility		$76.13	$105.15	$129.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.43 / $82.25 / $162.32	Professional		$64.43	$82.25	$162.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.90 / $87.54 / $154.16	Professional		$78.90	$87.54	$154.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $98.30 / $168.96	Professional		$68.25	$98.30	$168.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.75 / $103.75 / $103.75	Facility		$103.75	$103.75	$103.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.93 / $64.93 / $64.93	Professional		$64.93	$64.93	$64.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.69 / $94.69 / $94.69	Facility		$94.69	$94.69	$94.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.66 / $106.34 / $178.54	Professional		$69.66	$106.34	$178.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.38 / $102.80 / $192.52	Professional		$75.38	$102.80	$192.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $91.00 / $140.18	Professional		$65.09	$91.00	$140.18
United Facility/Professional Professional Modifier Low / Median / High Price $82.10 / $105.20 / $172.47	Professional		$82.10	$105.20	$172.47