Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.66 / $85.32 / $132.38	Facility		$80.66	$85.32	$132.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.17 / $98.56 / $247.16	Professional		$78.17	$98.56	$247.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.95 / $194.75 / $217.96	Professional		$110.95	$194.75	$217.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.75 / $118.83 / $225.68	Professional		$91.75	$118.83	$225.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $122.44 / $155.33 / $228.94	Facility		$122.44	$155.33	$228.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $135.79 / $153.44 / $183.31	Professional		$135.79	$153.44	$183.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.96 / $134.63 / $226.57	Professional		$86.96	$134.63	$226.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.47 / $160.26 / $288.45	Professional		$114.47	$160.26	$288.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $103.23 / $152.12 / $204.29	Professional		$103.23	$152.12	$204.29
United Facility/Professional Professional Modifier Low / Median / High Price $95.11 / $118.23 / $233.28	Professional		$95.11	$118.23	$233.28