Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $100.00 / $134.90	Facility		$79.43	$100.00	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $97.72 / $208.93	Professional		$63.10	$97.72	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $141.25	Professional		$66.07	$89.13	$141.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $173.78	Professional		$72.44	$107.15	$173.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $112.20 / $165.96	Facility		$95.50	$112.20	$165.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $186.21	Professional		$75.86	$97.72	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $194.98	Professional		$79.43	$125.89	$194.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $199.53	Professional		$75.86	$107.15	$199.53
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $21,877.62	Facility		$4,570.88	$4,570.88	$21,877.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $128.82 / $177.83	Professional		$77.62	$128.82	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $194.98	Professional		$83.18	$112.20	$194.98