Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.86 / $140.22 / $167.41	Facility		$100.86	$140.22	$167.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.64 / $102.79 / $213.99	Professional		$83.64	$102.79	$213.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.50 / $102.65 / $112.52	Professional		$101.50	$102.65	$112.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.22 / $128.24 / $219.55	Professional		$91.22	$128.24	$219.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $133.77 / $133.77 / $133.77	Facility		$133.77	$133.77	$133.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.78 / $87.78 / $87.78	Professional		$87.78	$87.78	$87.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.81 / $127.81 / $127.81	Facility		$127.81	$127.81	$127.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $136.02 / $221.09	Professional		$89.75	$136.02	$221.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.92 / $133.44 / $260.29	Professional		$101.92	$133.44	$260.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $88.69 / $120.44 / $180.34	Professional		$88.69	$120.44	$180.34
United Facility/Professional Professional Modifier Low / Median / High Price $105.15 / $136.02 / $216.89	Professional		$105.15	$136.02	$216.89