Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.75 / $170.93 / $257.69	Facility		$114.75	$170.93	$257.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.76 / $143.00 / $297.57	Professional		$105.76	$143.00	$297.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $273.72 / $273.72 / $273.72	Professional		$273.72	$273.72	$273.72
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 $111.21 / $171.25 / $291.88	Professional		$111.21	$171.25	$291.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $194.42 / $230.54 / $341.10	Facility		$194.42	$230.54	$341.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.34 / $191.07 / $2,500.00	Facility		$94.34	$191.07	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.82 / $195.34 / $332.55	Professional		$129.82	$195.34	$332.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.34 / $186.30 / $355.26	Professional		$131.34	$186.30	$355.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $179.32 / $255.76	Professional		$109.45	$179.32	$255.76
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,550.00 / $2,665.00	Facility		$353.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.94 / $196.77 / $322.75	Professional		$125.94	$196.77	$322.75