Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $263.03	Professional		$57.54	$81.28	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $77.62 / $151.36	Professional		$38.90	$77.62	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $89.13 / $190.55	Professional		$35.48	$89.13	$190.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $112.20 / $194.98	Facility		$97.72	$112.20	$194.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $104.71	Professional		$93.33	$93.33	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $64.57 / $223.87	Professional		$42.66	$64.57	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $120.23 / $660.69	Professional		$72.44	$120.23	$660.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $138.04 / $173.78	Professional		$79.43	$138.04	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $114.82	Facility		$74.13	$74.13	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $97.72 / $218.78	Professional		$53.70	$97.72	$218.78