Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.45 / $70.45 / $167.35	Facility		$70.45	$70.45	$167.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.73 / $75.84 / $101.01	Professional		$66.73	$75.84	$101.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.78 / $109.78 / $109.78	Professional		$109.78	$109.78	$109.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.35 / $207.69 / $544.44	Facility		$148.35	$207.69	$544.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $131.44 / $259.61	Professional		$45.00	$131.44	$259.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $122.43 / $126.10 / $274.45	Facility		$122.43	$126.10	$274.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $126.10 / $126.10 / $126.10	Professional		$126.10	$126.10	$126.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.71 / $83.71 / $83.71	Facility		$83.71	$83.71	$83.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $61.11 / $105.86	Professional		$61.11	$61.11	$105.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.75 / $148.35 / $233.00	Professional		$112.75	$148.35	$233.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $252.19 / $257.24 / $279.94	Professional		$252.19	$257.24	$279.94
United Facility/Professional Facility Modifier Low / Median / High Price $41.37 / $65.33 / $73.19	Facility		$41.37	$65.33	$73.19
United Facility/Professional Professional Modifier Low / Median / High Price $49.34 / $74.01 / $133.53	Professional		$49.34	$74.01	$133.53