Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.25 / $72.25 / $72.25	Facility		$72.25	$72.25	$72.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.54 / $72.25 / $153.88	Professional		$60.54	$72.25	$153.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.18 / $156.47 / $251.30	Professional		$125.18	$156.47	$251.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $408.80 / $617.85 / $1,021.02	Facility		$408.80	$617.85	$1,021.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.92 / $86.01 / $144.50	Professional		$65.92	$86.01	$144.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $105.23 / $122.77 / $138.61	Facility		$105.23	$122.77	$138.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.13 / $91.13 / $198.47	Professional		$91.13	$91.13	$198.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $73.14 / $73.14	Professional		$73.14	$73.14	$73.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.84 / $177.68 / $358.00	Professional		$88.84	$177.68	$358.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $147.65 / $147.65 / $155.59	Professional		$147.65	$147.65	$155.59
United Facility/Professional Professional Modifier Low / Median / High Price $71.39 / $114.22 / $251.88	Professional		$71.39	$114.22	$251.88