Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.27 / $120.12 / $543.39	Facility		$50.27	$120.12	$543.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.20 / $119.44 / $407.33	Professional		$82.20	$119.44	$407.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $103.62 / $206.71	Professional		$70.00	$103.62	$206.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.07 / $208.78 / $351.04	Facility		$118.07	$208.78	$351.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.68 / $151.15 / $281.04	Professional		$104.68	$151.15	$281.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.10 / $105.38 / $168.81	Facility		$45.10	$105.38	$168.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.03 / $93.29 / $170.74	Professional		$39.03	$93.29	$170.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.24 / $216.52 / $269.82	Facility		$140.24	$216.52	$269.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.02 / $222.28 / $377.59	Professional		$127.02	$222.28	$377.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $318.99 / $480.00 / $1,078.04	Professional		$318.99	$480.00	$1,078.04
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $371.95 / $482.04 / $606.11	Facility		$371.95	$482.04	$606.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $38.83 / $69.26	Professional		$16.41	$38.83	$69.26
United Facility/Professional Professional Modifier Low / Median / High Price $126.67 / $201.96 / $300.93	Professional		$126.67	$201.96	$300.93