Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.90 / $87.95 / $97.34	Facility		$75.90	$87.95	$97.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.91 / $86.15 / $120.15	Professional		$69.91	$86.15	$120.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.99 / $146.29 / $361.95	Professional		$57.99	$146.29	$361.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.77 / $103.31 / $164.79	Professional		$60.77	$103.31	$164.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.44 / $88.26 / $122.54	Facility		$57.44	$88.26	$122.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.30 / $110.77 / $142.25	Professional		$70.30	$110.77	$142.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $98.00 / $155.88	Professional		$67.00	$98.00	$155.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $95.74 / $300.93	Professional		$80.42	$95.74	$300.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.20 / $117.81 / $178.80	Professional		$89.20	$117.81	$178.80
United Facility/Professional Professional Modifier Low / Median / High Price $89.20 / $117.97 / $239.27	Professional		$89.20	$117.97	$239.27