Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $179.26 / $535.09	Facility		$56.10	$179.26	$535.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.31 / $139.13 / $264.27	Professional		$117.31	$139.13	$264.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $130.00 / $259.77	Professional		$84.00	$130.00	$259.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.49 / $243.49 / $275.60	Facility		$139.49	$243.49	$275.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.19 / $153.21 / $289.04	Professional		$119.19	$153.21	$289.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.36 / $134.18 / $212.53	Facility		$55.36	$134.18	$212.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.08 / $118.83 / $217.26	Professional		$48.08	$118.83	$217.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.46 / $249.40 / $325.39	Facility		$177.46	$249.40	$325.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.94 / $221.50 / $426.04	Professional		$131.94	$221.50	$426.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $401.72 / $571.00 / $1,364.79	Professional		$401.72	$571.00	$1,364.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $367.42 / $460.77 / $514.34	Facility		$367.42	$460.77	$514.34
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 $150.91 / $197.91 / $343.58	Professional		$150.91	$197.91	$343.58