Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.74 / $244.94 / $969.00	Facility		$57.74	$244.94	$969.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.98 / $63.81 / $86.67	Professional		$50.98	$63.81	$86.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $241.89 / $241.89 / $241.89	Professional		$241.89	$241.89	$241.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.39 / $59.27 / $101.01	Professional		$44.39	$59.27	$101.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.50 / $68.81 / $109.41	Facility		$54.50	$68.81	$109.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.40 / $60.22 / $113.79	Professional		$46.40	$60.22	$113.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $87.86 / $151.27	Professional		$58.60	$87.86	$151.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.82 / $72.56 / $582.00	Professional		$55.82	$72.56	$582.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.10 / $80.94 / $107.31	Professional		$52.10	$80.94	$107.31
United Facility/Professional Professional Modifier Low / Median / High Price $55.75 / $85.09 / $147.29	Professional		$55.75	$85.09	$147.29