Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.71 / $62.71 / $148.94	Facility		$62.71	$62.71	$148.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.71 / $79.20 / $148.36	Professional		$62.71	$79.20	$148.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.18 / $68.18 / $171.65	Professional		$68.18	$68.18	$171.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.04 / $184.86 / $484.59	Facility		$132.04	$184.86	$484.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.40 / $109.79 / $210.80	Professional		$70.40	$109.79	$210.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.23 / $125.00 / $244.27	Facility		$112.23	$125.00	$244.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.23 / $112.23 / $112.23	Professional		$112.23	$112.23	$112.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $92.98 / $92.98	Facility		$92.98	$92.98	$92.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $67.88 / $170.63	Professional		$67.88	$67.88	$170.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.35 / $132.04 / $191.11	Professional		$100.35	$132.04	$191.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $163.25 / $165.05 / $168.35	Professional		$163.25	$165.05	$168.35
United Facility/Professional Professional Modifier Low / Median / High Price $43.92 / $65.87 / $128.94	Professional		$43.92	$65.87	$128.94