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 $75.86 / $96.67 / $137.31	Professional		$75.86	$96.67	$137.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.33 / $79.29 / $149.15	Professional		$71.33	$79.29	$149.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.54 / $113.86 / $188.71	Professional		$70.54	$113.86	$188.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.06 / $120.18 / $164.40	Facility		$77.06	$120.18	$164.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.47 / $131.53 / $167.70	Professional		$83.47	$131.53	$167.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $97.00 / $171.60	Professional		$69.73	$97.00	$171.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.89 / $118.53 / $286.72	Professional		$107.89	$118.53	$286.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $101.27 / $116.22 / $164.02	Professional		$101.27	$116.22	$164.02
United Facility/Professional Professional Modifier Low / Median / High Price $91.08 / $120.77 / $249.99	Professional		$91.08	$120.77	$249.99