Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.42 / $176.34 / $176.34	Facility		$100.42	$176.34	$176.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.67 / $112.63 / $275.07	Professional		$96.67	$112.63	$275.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.39 / $208.66 / $259.97	Professional		$112.39	$208.66	$259.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.44 / $148.22 / $251.71	Professional		$113.44	$148.22	$251.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.15 / $157.82 / $224.78	Facility		$124.15	$157.82	$224.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.12 / $138.90 / $183.01	Professional		$111.12	$138.90	$183.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.29 / $138.29 / $138.29	Facility		$138.29	$138.29	$138.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.58 / $164.85 / $274.27	Professional		$115.58	$164.85	$274.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.73 / $157.35 / $595.39	Professional		$115.73	$157.35	$595.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.12 / $174.75 / $220.66	Professional		$110.12	$174.75	$220.66
United Facility/Professional Professional Modifier Low / Median / High Price $116.88 / $146.10 / $228.79	Professional		$116.88	$146.10	$228.79