Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.02 / $107.55 / $194.03	Facility		$99.02	$107.55	$194.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $93.53 / $102.68	Professional		$92.03	$93.53	$102.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.40 / $87.62 / $91.78	Professional		$46.40	$87.62	$91.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.40 / $71.67 / $144.88	Professional		$53.40	$71.67	$144.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.62 / $125.48 / $156.40	Facility		$96.62	$125.48	$156.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.63 / $111.63 / $142.88	Professional		$89.63	$111.63	$142.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.16 / $109.16 / $109.16	Facility		$109.16	$109.16	$109.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $86.90 / $139.07	Professional		$86.90	$86.90	$139.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.63 / $94.73 / $339.00	Professional		$89.63	$94.73	$339.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $129.96 / $176.22	Professional		$85.26	$129.96	$176.22
United Facility/Professional Professional Modifier Low / Median / High Price $82.75 / $110.33 / $185.85	Professional		$82.75	$110.33	$185.85