Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.18 / $75.18 / $178.59	Facility		$75.18	$75.18	$178.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.47 / $92.90 / $140.00	Professional		$73.47	$92.90	$140.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.16 / $117.16 / $237.48	Professional		$117.16	$117.16	$237.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.32 / $221.65 / $581.03	Facility		$158.32	$221.65	$581.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.40 / $131.63 / $252.75	Professional		$83.40	$131.63	$252.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.59 / $134.57 / $292.89	Facility		$130.59	$134.57	$292.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.57 / $134.57 / $134.57	Professional		$134.57	$134.57	$134.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $88.85	Facility		$88.85	$88.85	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $88.85 / $182.63	Professional		$64.86	$88.85	$182.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.32 / $158.32 / $219.91	Professional		$120.32	$158.32	$219.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $195.74 / $197.90 / $201.86	Professional		$195.74	$197.90	$201.86
United Facility/Professional Professional Modifier Low / Median / High Price $52.66 / $78.98 / $130.31	Professional		$52.66	$78.98	$130.31