Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $93.33 / $275.42	Professional		$63.10	$93.33	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $125.89 / $165.96	Professional		$45.71	$125.89	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $100.00 / $208.93	Professional		$41.69	$100.00	$208.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $109.65 / $194.98	Facility		$97.72	$109.65	$194.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $123.03	Professional		$109.65	$109.65	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $67.61 / $223.87	Professional		$40.74	$67.61	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $117.49 / $660.69	Professional		$67.61	$117.49	$660.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $125.89 / $194.98	Professional		$69.18	$125.89	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $83.18	Facility		$26.30	$26.30	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $87.10 / $204.17	Professional		$52.48	$87.10	$204.17