Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $87.10	Facility		$77.62	$77.62	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $239.88	Professional		$77.62	$97.72	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $323.59	Professional		$67.61	$95.50	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $141.25	Professional		$75.86	$104.71	$141.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $100.00 / $141.25	Facility		$66.07	$100.00	$141.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $229.09	Professional		$79.43	$131.83	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $177.83	Professional		$67.61	$95.50	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $112.20 / $151.36	Professional		$87.10	$112.20	$151.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $97.72 / $194.98	Professional		$74.13	$97.72	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $213.80	Professional		$77.62	$107.15	$213.80