Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.32 / $103.32 / $103.32	Facility		$103.32	$103.32	$103.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.24 / $130.86 / $200.72	Professional		$95.24	$130.86	$200.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $227.82 / $227.82 / $235.12	Professional		$227.82	$227.82	$235.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.51 / $151.49 / $267.93	Professional		$119.51	$151.49	$267.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $143.86 / $143.86 / $143.86	Facility		$143.86	$143.86	$143.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $115.76 / $268.47	Professional		$115.76	$115.76	$268.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.71 / $145.63 / $469.77	Professional		$122.71	$145.63	$469.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $147.80 / $235.30 / $330.40	Professional		$147.80	$235.30	$330.40
United Facility/Professional Professional Modifier Low / Median / High Price $127.16 / $174.08 / $293.18	Professional		$127.16	$174.08	$293.18