Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.30 / $203.25 / $406.50	Facility		$56.30	$203.25	$406.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.02 / $67.33 / $104.82	Professional		$55.02	$67.33	$104.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.22 / $171.35 / $186.00	Professional		$61.22	$171.35	$186.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.56 / $165.98 / $435.12	Facility		$118.56	$165.98	$435.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $98.58 / $189.27	Professional		$63.10	$98.58	$189.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.82 / $100.78 / $219.34	Facility		$97.82	$100.78	$219.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.78 / $100.78 / $100.78	Professional		$100.78	$100.78	$100.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.81 / $65.81 / $383.66	Facility		$65.81	$65.81	$383.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $65.81 / $136.50	Professional		$48.04	$65.81	$136.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.11 / $118.56 / $164.53	Professional		$90.11	$118.56	$164.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $130.57 / $151.16 / $223.72	Professional		$130.57	$151.16	$223.72
United Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $59.15 / $115.78	Professional		$39.43	$59.15	$115.78