Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.26 / $56.26 / $139.78	Facility		$56.26	$56.26	$139.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.26 / $73.04 / $159.91	Professional		$56.26	$73.04	$159.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.05 / $61.17 / $177.69	Professional		$47.05	$61.17	$177.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.46 / $165.84 / $434.75	Facility		$118.46	$165.84	$434.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.25 / $98.50 / $189.12	Professional		$61.25	$98.50	$189.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.85 / $142.15 / $189.54	Facility		$95.85	$142.15	$189.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.69 / $118.46 / $165.84	Professional		$100.69	$118.46	$165.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.22 / $68.22 / $73.06	Facility		$68.22	$68.22	$73.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $68.22 / $119.48	Professional		$49.80	$68.22	$119.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.03 / $118.46 / $164.09	Professional		$90.03	$118.46	$164.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.70 / $130.44 / $223.54	Professional		$100.70	$130.44	$223.54
United Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $56.76 / $97.51	Professional		$39.40	$56.76	$97.51