Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.75 / $155.47 / $276.48	Professional		$123.75	$155.47	$276.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.96 / $115.88 / $200.30	Professional		$106.96	$115.88	$200.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.42 / $375.36 / $396.47	Professional		$117.42	$375.36	$396.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.87 / $129.84 / $166.19	Professional		$104.87	$129.84	$166.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.77 / $197.98 / $391.77	Professional		$142.77	$197.98	$391.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.30 / $152.49 / $545.98	Professional		$117.30	$152.49	$545.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $108.44 / $194.66 / $308.60	Professional		$108.44	$194.66	$308.60
United Facility/Professional Professional Modifier Low / Median / High Price $127.90 / $176.51 / $365.65	Professional		$127.90	$176.51	$365.65