Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.90 / $43.42 / $51.08	Facility		$31.90	$43.42	$51.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.46 / $47.26 / $70.48	Professional		$31.46	$47.26	$70.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.21 / $98.11 / $104.05	Professional		$51.21	$98.11	$104.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $55.48 / $100.31	Professional		$38.11	$55.48	$100.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.21 / $42.40 / $62.32	Facility		$29.21	$42.40	$62.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.22 / $68.11 / $88.11	Professional		$43.22	$68.11	$88.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.02 / $66.41 / $132.82	Professional		$40.02	$66.41	$132.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.95 / $56.04 / $196.29	Professional		$38.95	$56.04	$196.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $84.30 / $85.10 / $161.30	Professional		$84.30	$85.10	$161.30
United Facility/Professional Professional Modifier Low / Median / High Price $53.25 / $78.48 / $143.56	Professional		$53.25	$78.48	$143.56