Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $134.90 / $173.78	Facility		$89.13	$134.90	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $229.09	Professional		$83.18	$107.15	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $125.89	Professional		$79.43	$100.00	$125.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $190.55	Professional		$100.00	$125.89	$190.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $131.83 / $213.80	Professional		$85.11	$131.83	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $229.09	Professional		$85.11	$125.89	$229.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $208.93	Professional		$141.25	$165.96	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $112.20 / $141.25	Facility		$100.00	$112.20	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $194.98	Professional		$93.33	$120.23	$194.98