Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.56 / $49.52 / $295.80	Facility		$48.56	$49.52	$295.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.46 / $53.95 / $95.70	Professional		$47.46	$53.95	$95.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.13 / $89.48 / $93.84	Professional		$49.13	$89.48	$93.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.07 / $71.05 / $110.04	Professional		$39.07	$71.05	$110.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.48 / $67.48 / $67.48	Facility		$67.48	$67.48	$67.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.20 / $72.16 / $121.48	Professional		$53.20	$72.16	$121.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.33 / $63.02 / $343.70	Professional		$53.33	$63.02	$343.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $69.31 / $89.69	Professional		$58.90	$69.31	$89.69
United Facility/Professional Professional Modifier Low / Median / High Price $51.93 / $77.48 / $125.77	Professional		$51.93	$77.48	$125.77