Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.95 / $74.95 / $178.07	Facility		$74.95	$74.95	$178.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.01 / $84.22 / $117.42	Professional		$71.01	$84.22	$117.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.06 / $142.06 / $142.06	Professional		$142.06	$142.06	$142.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.84 / $220.98 / $579.27	Facility		$157.84	$220.98	$579.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.01 / $131.24 / $251.98	Professional		$84.01	$131.24	$251.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.22 / $134.16 / $292.00	Facility		$130.22	$134.16	$292.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.16 / $134.16 / $134.16	Professional		$134.16	$134.16	$134.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.06 / $99.06 / $99.06	Facility		$99.06	$99.06	$99.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $99.06 / $181.88	Professional		$72.31	$99.06	$181.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.96 / $157.84 / $219.43	Professional		$119.96	$157.84	$219.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $195.14 / $197.30 / $201.25	Professional		$195.14	$197.30	$201.25
United Facility/Professional Professional Modifier Low / Median / High Price $52.50 / $78.73 / $129.94	Professional		$52.50	$78.73	$129.94