Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $257.04	Professional		$114.82	$151.36	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $147.91	Professional		$85.11	$109.65	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $489.78 / $489.78	Professional		$162.18	$489.78	$489.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $162.18	Professional		$100.00	$120.23	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $323.59	Professional		$120.23	$186.21	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $501.19	Professional		$147.91	$190.55	$501.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $269.15 / $354.81	Professional		$64.57	$269.15	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $275.42	Professional		$125.89	$162.18	$275.42