Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.44 / $95.40 / $132.59	Facility		$34.44	$95.40	$132.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.44 / $47.15 / $110.40	Professional		$34.44	$47.15	$110.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.77 / $61.16 / $82.81	Professional		$43.77	$61.16	$82.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $75.70 / $142.15	Professional		$31.27	$75.70	$142.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.40 / $48.82 / $67.34	Facility		$40.40	$48.82	$67.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $41.68 / $47.01	Professional		$34.86	$41.68	$47.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.88 / $83.46 / $149.96	Professional		$42.88	$83.46	$149.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.28 / $45.18 / $236.00	Professional		$31.28	$45.18	$236.00
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $27.64 / $27.64 / $101.00	Professional	52	$27.64	$27.64	$101.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $92.72 / $92.72 / $92.72	Facility		$92.72	$92.72	$92.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.24 / $72.62 / $122.60	Professional		$57.24	$72.62	$122.60
United Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $68.16 / $115.63	Professional		$38.15	$68.16	$115.63