Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.68 / $103.15 / $103.15	Facility		$80.68	$103.15	$103.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.48 / $99.82 / $119.45	Professional		$72.48	$99.82	$119.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.58 / $125.58 / $125.58	Professional		$125.58	$125.58	$125.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.53 / $121.67 / $213.06	Professional		$92.53	$121.67	$213.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.00 / $121.00 / $121.00	Facility		$121.00	$121.00	$121.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.31 / $118.31 / $118.31	Facility		$118.31	$118.31	$118.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.85 / $92.85 / $200.56	Professional		$92.85	$92.85	$200.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $106.35 / $309.30	Professional		$101.29	$106.35	$309.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.80 / $214.60 / $267.10	Professional		$165.80	$214.60	$267.10
United Facility/Professional Professional Modifier Low / Median / High Price $94.37 / $134.86 / $219.22	Professional		$94.37	$134.86	$219.22