Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.87 / $113.23 / $145.35	Facility		$78.87	$113.23	$145.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $108.09 / $188.34	Professional		$68.70	$108.09	$188.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.31 / $136.47 / $148.91	Professional		$93.31	$136.47	$148.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.11 / $107.16 / $187.92	Professional		$73.11	$107.16	$187.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.53 / $108.86 / $160.41	Facility		$92.53	$108.86	$160.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.85 / $107.06 / $128.21	Professional		$93.85	$107.06	$128.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.40 / $125.03 / $195.37	Professional		$79.40	$125.03	$195.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $120.32 / $202.13	Professional		$80.20	$120.32	$202.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $73.17 / $106.60 / $154.51	Professional		$73.17	$106.60	$154.51
United Facility/Professional Professional Modifier Low / Median / High Price $84.34 / $109.14 / $174.10	Professional		$84.34	$109.14	$174.10