Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.16 / $155.13 / $523.66	Facility		$137.16	$155.13	$523.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.42 / $61.67 / $200.14	Professional		$38.42	$61.67	$200.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.17 / $64.84 / $311.52	Professional		$28.17	$64.84	$311.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.64 / $33.49 / $143.90	Professional		$26.64	$33.49	$143.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.38 / $78.88 / $140.11	Facility		$58.38	$78.88	$140.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $58.38 / $68.03	Professional		$56.00	$58.38	$68.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $57.79 / $178.77	Professional		$33.00	$57.79	$178.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $87.96 / $488.91	Professional		$52.54	$87.96	$488.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.03 / $96.83 / $109.61	Professional		$58.03	$96.83	$109.61
United Facility/Professional Professional Modifier Low / Median / High Price $39.59 / $76.86 / $158.63	Professional		$39.59	$76.86	$158.63