Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $123.03	Facility		$97.72	$97.72	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $199.53	Professional		$102.33	$128.82	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $117.49 / $144.54	Professional		$91.20	$117.49	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $204.17	Professional		$104.71	$151.36	$204.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $154.88 / $213.80	Facility		$100.00	$154.88	$213.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $194.98 / $346.74	Professional		$117.49	$194.98	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $154.88 / $251.19	Professional		$100.00	$154.88	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $354.81	Professional		$128.82	$169.82	$354.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $144.54 / $213.80	Professional		$95.50	$144.54	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $316.23	Professional		$109.65	$151.36	$316.23