Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $169.82 / $457.09	Professional		$95.50	$169.82	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $218.78	Professional		$109.65	$144.54	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $245.47	Professional		$120.23	$144.54	$245.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $165.96 / $234.42	Facility		$134.90	$165.96	$234.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $138.04 / $181.97	Professional		$112.20	$138.04	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $269.15	Professional		$114.82	$162.18	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $371.54	Professional		$107.15	$138.04	$371.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $194.98 / $239.88	Professional		$109.65	$194.98	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $223.87	Professional		$112.20	$144.54	$223.87