Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.58 / $60.58 / $99.63	Facility		$60.58	$60.58	$99.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.39 / $66.16 / $94.96	Professional		$33.39	$66.16	$94.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.80 / $111.60 / $142.15	Professional		$82.80	$111.60	$142.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.17 / $95.02 / $227.52	Professional		$61.17	$95.02	$227.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $133.03 / $137.78 / $152.03	Facility		$133.03	$137.78	$152.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.35 / $111.35 / $111.35	Facility		$111.35	$111.35	$111.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $38.77 / $110.78	Professional		$38.77	$38.77	$110.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.02 / $95.02 / $266.58	Professional		$95.02	$95.02	$266.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $96.92 / $121.15 / $175.79	Professional		$96.92	$121.15	$175.79
United Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $47.40 / $129.58	Professional		$31.60	$47.40	$129.58