Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.92 / $62.92 / $110.75	Facility		$62.92	$62.92	$110.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.07 / $68.84 / $110.75	Professional		$57.07	$68.84	$110.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.80 / $126.19 / $130.59	Professional		$65.80	$126.19	$130.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.45 / $77.31 / $140.32	Professional		$63.45	$77.31	$140.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.08 / $76.08 / $76.08	Facility		$76.08	$76.08	$76.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.28 / $64.28 / $64.28	Professional		$64.28	$64.28	$64.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.34 / $70.34 / $248.00	Professional		$70.34	$70.34	$248.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.58 / $120.63 / $139.90	Professional		$67.58	$120.63	$139.90
United Facility/Professional Professional Modifier Low / Median / High Price $69.59 / $95.17 / $150.49	Professional		$69.59	$95.17	$150.49