Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.45 / $169.53 / $169.53	Facility		$96.45	$169.53	$169.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.66 / $104.54 / $264.82	Professional		$92.66	$104.54	$264.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.30 / $201.07 / $505.93	Professional		$108.30	$201.07	$505.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.04 / $143.46 / $241.95	Professional		$109.04	$143.46	$241.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.67 / $152.05 / $216.60	Facility		$119.67	$152.05	$216.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.04 / $133.80 / $176.29	Professional		$107.04	$133.80	$176.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.90 / $132.90 / $132.90	Facility		$132.90	$132.90	$132.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.96 / $158.21 / $264.32	Professional		$110.96	$158.21	$264.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.53 / $151.62 / $571.97	Professional		$111.53	$151.62	$571.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $106.07 / $168.12 / $212.81	Professional		$106.07	$168.12	$212.81
United Facility/Professional Professional Modifier Low / Median / High Price $110.30 / $138.19 / $220.48	Professional		$110.30	$138.19	$220.48