Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.39 / $80.79 / $190.90	Professional		$56.39	$80.79	$190.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $39.49 / $365.12	Professional		$38.47	$39.49	$365.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $44.46 / $192.41	Professional		$35.57	$44.46	$192.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.47 / $107.74 / $190.73	Facility		$79.47	$107.74	$190.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.37 / $79.47 / $92.84	Professional		$76.37	$79.47	$92.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $78.44 / $222.58	Professional		$44.36	$78.44	$222.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $119.73 / $662.21	Professional		$71.52	$119.73	$662.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.62 / $131.41 / $147.58	Professional		$78.62	$131.41	$147.58
United Facility/Professional Professional Modifier Low / Median / High Price $53.23 / $98.24 / $213.30	Professional		$53.23	$98.24	$213.30