Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $120.23 / $269.15	Facility		$50.12	$120.23	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $123.03 / $407.38	Professional		$58.88	$123.03	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $223.87	Professional		$70.79	$104.71	$223.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $208.93 / $323.59	Facility		$144.54	$208.93	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $257.04	Professional		$120.23	$165.96	$257.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $120.23 / $190.55	Facility		$52.48	$120.23	$190.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $93.33 / $154.88	Professional		$38.90	$93.33	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $229.09 / $269.15	Facility		$177.83	$229.09	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $204.17 / $354.81	Professional		$120.23	$204.17	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $478.63 / $1,071.52	Professional		$239.88	$478.63	$1,071.52
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $1,258.93	Facility		$467.74	$467.74	$1,258.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $56.23 / $83.18	Professional		$22.91	$56.23	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $213.80 / $213.80	Facility		$95.50	$213.80	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $302.00	Professional		$125.89	$199.53	$302.00