Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.40 / $166.40 / $166.40	Facility		$166.40	$166.40	$166.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.06 / $172.42 / $223.28	Professional		$157.06	$172.42	$223.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $168.72 / $183.82 / $204.24	Professional		$168.72	$183.82	$204.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.37 / $161.71 / $161.71	Professional		$129.37	$161.71	$161.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $295.52 / $306.08 / $413.74	Facility		$295.52	$306.08	$413.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $45.05 / $45.05	Professional		$45.05	$45.05	$45.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.00 / $276.00 / $276.00	Professional		$216.00	$276.00	$276.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $92.78 / $161.71 / $161.71	Professional		$92.78	$161.71	$161.71
United Facility/Professional Professional Modifier Low / Median / High Price $161.71 / $161.71 / $161.71	Professional		$161.71	$161.71	$161.71