Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.54 / $45.54 / $108.18	Facility		$45.54	$45.54	$108.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.54 / $60.04 / $108.18	Professional		$45.54	$60.04	$108.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.52 / $129.47 / $178.05	Professional		$49.52	$129.47	$178.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $134.26 / $351.95	Facility		$95.90	$134.26	$351.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.30 / $84.98 / $164.80	Professional		$56.30	$84.98	$164.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.52 / $115.08 / $157.32	Facility		$81.52	$115.08	$157.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.52 / $105.92 / $137.69	Professional		$81.52	$105.92	$137.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.32 / $61.21 / $61.21	Facility		$60.32	$61.21	$61.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.68 / $44.68 / $122.63	Professional		$44.68	$44.68	$122.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.88 / $95.90 / $239.00	Professional		$72.88	$95.90	$239.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $118.56 / $122.26 / $180.95	Professional		$118.56	$122.26	$180.95
United Facility/Professional Professional Modifier Low / Median / High Price $33.78 / $47.84 / $86.32	Professional		$33.78	$47.84	$86.32