Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.96 / $99.96 / $129.35	Facility		$99.96	$99.96	$129.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.34 / $104.33 / $129.35	Professional		$83.34	$104.33	$129.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $164.92 / $185.22 / $195.39	Professional		$164.92	$185.22	$195.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.55 / $122.16 / $212.06	Professional		$96.55	$122.16	$212.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.10 / $124.10 / $124.10	Facility		$124.10	$124.10	$124.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $96.42 / $223.12	Professional		$96.42	$96.42	$223.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.58 / $105.24 / $462.00	Professional		$101.58	$105.24	$462.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $161.65 / $194.10 / $279.20	Professional		$161.65	$194.10	$279.20
United Facility/Professional Professional Modifier Low / Median / High Price $102.89 / $141.22 / $239.16	Professional		$102.89	$141.22	$239.16