Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.21 / $91.21 / $216.66	Facility		$91.21	$91.21	$216.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.41 / $118.41 / $255.92	Professional		$86.41	$118.41	$255.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.18 / $142.12 / $288.08	Professional		$99.18	$142.12	$288.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.05 / $268.87 / $704.82	Facility		$192.05	$268.87	$704.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.34 / $170.18 / $330.06	Professional		$112.34	$170.18	$330.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.47 / $230.46 / $307.27	Facility		$158.47	$230.46	$307.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $163.24 / $192.05 / $268.87	Professional		$163.24	$192.05	$268.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.47 / $120.81 / $120.81	Facility		$118.47	$120.81	$120.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $118.47 / $221.63	Professional		$88.19	$118.47	$221.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.96 / $192.05 / $266.77	Professional		$145.96	$192.05	$266.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $190.11 / $240.06 / $355.29	Professional		$190.11	$240.06	$355.29
United Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $95.81 / $172.88	Professional		$63.88	$95.81	$172.88