Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.58 / $55.58 / $132.02	Facility		$55.58	$55.58	$132.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.66 / $66.69 / $88.13	Professional		$52.66	$66.69	$88.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.61 / $86.61 / $87.78	Professional		$86.61	$86.61	$87.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.04 / $163.86 / $429.54	Facility		$117.04	$163.86	$429.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.03 / $97.32 / $186.85	Professional		$63.03	$97.32	$186.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.48 / $117.04 / $229.40	Facility		$99.48	$117.04	$229.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.48 / $99.48 / $99.48	Professional		$99.48	$99.48	$99.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $75.70 / $75.70	Facility		$75.70	$75.70	$75.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.27 / $55.27 / $140.68	Professional		$55.27	$55.27	$140.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.95 / $117.04 / $176.00	Professional		$88.95	$117.04	$176.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.69 / $146.30 / $149.22	Professional		$144.69	$146.30	$149.22
United Facility/Professional Professional Modifier Low / Median / High Price $38.93 / $58.39 / $117.04	Professional		$38.93	$58.39	$117.04