Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $60.26	Facility		$52.48	$52.48	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $64.57 / $151.36	Professional		$52.48	$64.57	$151.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $72.44 / $380.19	Professional		$50.12	$72.44	$380.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $70.79 / $95.50	Professional		$52.48	$70.79	$95.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $69.18 / $97.72	Facility		$45.71	$69.18	$97.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $89.13 / $158.49	Professional		$54.95	$89.13	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $64.57 / $120.23	Professional		$46.77	$64.57	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $77.62 / $104.71	Professional		$60.26	$77.62	$104.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $131.83	Professional		$51.29	$64.57	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $72.44 / $147.91	Professional		$53.70	$72.44	$147.91