Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $302.00	Professional		$138.04	$169.82	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $131.83	Professional		$58.88	$70.79	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $281.84 / $416.87	Professional		$131.83	$281.84	$416.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $275.42	Professional		$117.49	$151.36	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $501.19 / $776.25	Professional		$239.88	$501.19	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $645.65	Professional		$125.89	$181.97	$645.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $245.47 / $302.00	Professional		$125.89	$245.47	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $407.38	Professional		$147.91	$223.87	$407.38