Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.90 / $96.90 / $110.85	Facility		$96.90	$96.90	$110.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.41 / $106.74 / $176.17	Professional		$96.41	$106.74	$176.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $187.57 / $187.57 / $187.57	Professional		$187.57	$187.57	$187.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $146.29 / $214.13	Professional		$79.98	$146.29	$214.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.69 / $138.69 / $138.69	Facility		$138.69	$138.69	$138.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.18 / $149.78 / $249.63	Professional		$112.18	$149.78	$249.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.71 / $133.19 / $685.80	Professional		$112.71	$133.19	$685.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $122.53 / $148.57 / $189.55	Professional		$122.53	$148.57	$189.55
United Facility/Professional Professional Modifier Low / Median / High Price $104.19 / $161.01 / $272.10	Professional		$104.19	$161.01	$272.10