Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.11 / $81.11 / $92.47	Facility		$81.11	$81.11	$92.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.38 / $92.95 / $135.13	Professional		$73.38	$92.95	$135.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.73 / $75.11 / $175.07	Professional		$66.73	$75.11	$175.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.34 / $103.89 / $177.86	Professional		$67.34	$103.89	$177.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.91 / $115.24 / $157.68	Facility		$73.91	$115.24	$157.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $126.18 / $160.87	Professional		$80.06	$126.18	$160.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $90.64 / $160.47	Professional		$67.00	$90.64	$160.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.48 / $113.70 / $275.05	Professional		$103.48	$113.70	$275.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.54 / $111.88 / $154.76	Professional		$97.54	$111.88	$154.76
United Facility/Professional Professional Modifier Low / Median / High Price $83.80 / $114.74 / $254.00	Professional		$83.80	$114.74	$254.00