Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.33 / $199.88 / $199.88	Facility		$110.33	$199.88	$199.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.07 / $121.14 / $289.42	Professional		$105.07	$121.14	$289.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.78 / $243.43 / $588.98	Professional		$123.78	$243.43	$588.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.83 / $164.80 / $276.98	Professional		$124.83	$164.80	$276.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $166.56 / $166.56 / $166.56	Facility		$166.56	$166.56	$166.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.99 / $120.99 / $120.99	Professional		$120.99	$120.99	$120.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.16 / $152.16 / $152.16	Facility		$152.16	$152.16	$152.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.40 / $181.91 / $302.05	Professional		$127.40	$181.91	$302.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $173.29 / $1,312.00	Professional		$127.45	$173.29	$1,312.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $121.42 / $192.45 / $243.12	Professional		$121.42	$192.45	$243.12
United Facility/Professional Professional Modifier Low / Median / High Price $126.80 / $163.98 / $251.96	Professional		$126.80	$163.98	$251.96