Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $95.50 / $190.55	Professional		$57.54	$95.50	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $85.11 / $104.71	Professional		$66.07	$85.11	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $100.00 / $190.55	Professional		$63.10	$100.00	$190.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $186.21	Professional		$109.65	$109.65	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $123.03 / $263.03	Professional		$75.86	$123.03	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $123.03 / $288.40	Professional		$102.33	$123.03	$288.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $128.82 / $144.54	Professional		$125.89	$128.82	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $234.42	Professional		$75.86	$102.33	$234.42