Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.52 / $124.73 / $140.07	Facility		$122.52	$124.73	$140.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.52 / $136.82 / $260.95	Professional		$122.52	$136.82	$260.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $231.15 / $430.50	Professional		$136.94	$231.15	$430.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.02 / $192.33 / $275.38	Professional		$102.02	$192.33	$275.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.16 / $175.01 / $211.65	Facility		$129.16	$175.01	$211.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $130.02 / $171.56 / $294.45	Professional		$130.02	$171.56	$294.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.61 / $181.43 / $319.35	Professional		$135.61	$181.43	$319.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.08 / $167.91 / $416.24	Professional		$142.08	$167.91	$416.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $124.10 / $189.67 / $245.22	Professional		$124.10	$189.67	$245.22
United Facility/Professional Professional Modifier Low / Median / High Price $129.78 / $195.37 / $318.75	Professional		$129.78	$195.37	$318.75