Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.05 / $52.05 / $165.44	Facility		$52.05	$52.05	$165.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.05 / $67.58 / $125.18	Professional		$52.05	$67.58	$125.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.73 / $86.30 / $183.00	Professional		$75.73	$86.30	$183.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.45 / $116.83 / $306.26	Facility		$83.45	$116.83	$306.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.04 / $116.85 / $195.29	Professional		$71.04	$116.85	$195.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.76 / $115.06 / $172.59	Facility		$66.76	$115.06	$172.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.93 / $83.45 / $116.83	Professional		$70.93	$83.45	$116.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.97 / $84.97 / $87.14	Facility		$84.97	$84.97	$87.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.03 / $74.17 / $92.83	Professional		$62.03	$74.17	$92.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $83.45 / $221.00	Professional		$63.42	$83.45	$221.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $121.50 / $121.50 / $121.50	Facility		$121.50	$121.50	$121.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $106.95 / $154.38	Professional		$76.45	$106.95	$154.38
United Facility/Professional Professional Modifier Low / Median / High Price $48.78 / $73.17 / $106.14	Professional		$48.78	$73.17	$106.14