Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $190.55 / $537.03	Facility		$47.86	$190.55	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $389.05	Professional		$104.71	$151.36	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $234.42	Professional		$89.13	$131.83	$234.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $234.42 / $269.15	Facility		$114.82	$234.42	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $245.47	Professional		$120.23	$154.88	$245.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $151.36 / $239.88	Facility		$63.10	$151.36	$239.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $117.49 / $194.98	Professional		$47.86	$117.49	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $281.84 / $331.13	Facility		$229.09	$281.84	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $213.80 / $380.19	Professional		$128.82	$213.80	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $1,380.38	Professional		$398.11	$588.84	$1,380.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $446.68 / $660.69	Facility		$371.54	$446.68	$660.69
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 $117.49 / $275.42 / $275.42	Facility		$117.49	$275.42	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $190.55 / $346.74	Professional		$144.54	$190.55	$346.74