Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $87.10 / $125.89	Facility		$81.28	$87.10	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $316.23	Professional		$75.86	$109.65	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $194.98	Professional		$95.50	$123.03	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $117.49 / $204.17	Professional		$83.18	$117.49	$204.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $162.18 / $234.42	Facility		$138.04	$162.18	$234.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $269.15	Professional		$109.65	$141.25	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $134.90 / $234.42	Professional		$87.10	$134.90	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $281.84	Professional		$109.65	$151.36	$281.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $186.21 / $245.47	Professional		$109.65	$186.21	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $234.42	Professional		$93.33	$120.23	$234.42