Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.52 / $73.52 / $174.63	Facility		$73.52	$73.52	$174.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $91.43 / $209.25	Professional		$68.34	$91.43	$209.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.57 / $114.57 / $240.00	Professional		$114.57	$114.57	$240.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.82 / $216.75 / $568.19	Facility		$154.82	$216.75	$568.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $128.72 / $247.16	Professional		$81.17	$128.72	$247.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $115.17 / $131.60 / $286.42	Facility		$115.17	$131.60	$286.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.60 / $131.60 / $131.60	Professional		$131.60	$131.60	$131.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $86.88 / $86.88	Facility		$81.70	$86.88	$86.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $86.88 / $159.66	Professional		$63.42	$86.88	$159.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.66 / $154.82 / $214.91	Professional		$117.66	$154.82	$214.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $263.19 / $268.45 / $292.14	Professional		$263.19	$268.45	$292.14
United Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $77.23 / $127.42	Professional		$51.49	$77.23	$127.42