Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.15 / $96.99 / $157.52	Facility		$68.15	$96.99	$157.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.76 / $96.99 / $215.78	Professional		$66.76	$96.99	$215.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.20 / $168.06 / $236.85	Professional		$96.20	$168.06	$236.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,139.92 / $4,143.39	Facility		$734.14	$2,139.92	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.37 / $97.12 / $174.31	Professional		$67.37	$97.12	$174.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.35 / $142.22 / $202.13	Facility		$117.35	$142.22	$202.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.12 / $114.76 / $2,500.00	Facility		$88.12	$114.76	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $119.37 / $209.27	Professional		$74.09	$119.37	$209.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.02 / $118.16 / $242.51	Professional		$81.02	$118.16	$242.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $118.16 / $176.10	Professional		$71.65	$118.16	$176.10
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.09 / $125.78 / $220.32	Professional		$82.09	$125.78	$220.32