Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.26 / $141.25	Professional		$47.86	$60.26	$141.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $131.83	Professional		$33.88	$33.88	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $54.95 / $138.04	Professional		$26.92	$54.95	$138.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $93.33	Professional		$83.18	$83.18	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $83.18 / $234.42	Professional		$33.11	$83.18	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $114.82 / $549.54	Professional		$74.13	$114.82	$549.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $131.83 / $173.78	Professional		$74.13	$131.83	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $67.61 / $181.97	Professional		$40.74	$67.61	$181.97