Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $81.28 / $104.71	Facility		$56.23	$81.28	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $204.17	Professional		$57.54	$79.43	$204.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $81.28 / $134.90	Professional		$66.07	$81.28	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $81.28 / $144.54	Professional		$69.18	$81.28	$144.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $109.65 / $162.18	Facility		$93.33	$109.65	$162.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $181.97	Professional		$74.13	$95.50	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $162.18	Professional		$64.57	$95.50	$162.18
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 Professional Modifier Low / Median / High Price $75.86 / $128.82 / $169.82	Professional		$75.86	$128.82	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $162.18	Professional		$67.61	$87.10	$162.18