Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.46 / $45.46 / $107.99	Facility		$45.46	$45.46	$107.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.46 / $57.49 / $80.08	Professional		$45.46	$57.49	$80.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.43 / $49.43 / $74.12	Professional		$49.43	$49.43	$74.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.73 / $134.02 / $351.33	Facility		$95.73	$134.02	$351.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.03 / $79.59 / $152.83	Professional		$51.03	$79.59	$152.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.37 / $84.00 / $177.10	Facility		$81.37	$84.00	$177.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.37 / $81.37 / $81.37	Professional		$81.37	$81.37	$81.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.69 / $62.81 / $62.81	Facility		$56.69	$62.81	$62.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $56.69 / $114.38	Professional		$45.85	$56.69	$114.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.75 / $95.73 / $185.55	Professional		$72.75	$95.73	$185.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $118.36 / $119.66 / $122.06	Professional		$118.36	$119.66	$122.06
United Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $47.76 / $82.83	Professional		$31.84	$47.76	$82.83