Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $64.34 / $75.70	Facility		$51.00	$64.34	$75.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.72 / $65.70 / $96.07	Professional		$52.72	$65.70	$96.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $61.00 / $130.24	Professional		$42.71	$61.00	$130.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $73.31 / $130.38	Professional		$47.11	$73.31	$130.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.78 / $80.84 / $110.46	Facility		$51.78	$80.84	$110.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.24 / $99.66 / $127.49	Professional		$63.24	$99.66	$127.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $62.90 / $108.87	Professional		$45.00	$62.90	$108.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.48 / $86.94 / $250.00	Professional		$72.48	$86.94	$250.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $83.70 / $115.63	Professional		$67.45	$83.70	$115.63
United Facility/Professional Professional Modifier Low / Median / High Price $56.68 / $77.86 / $171.78	Professional		$56.68	$77.86	$171.78