Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.29 / $210.18 / $459.09	Facility		$91.29	$210.18	$459.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.63 / $102.41 / $279.56	Professional		$83.63	$102.41	$279.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $203.45 / $203.45 / $203.45	Professional		$203.45	$203.45	$203.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $408.80 / $617.85 / $1,021.02	Facility		$408.80	$617.85	$1,021.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.86 / $135.63 / $275.77	Professional		$95.86	$135.63	$275.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.78 / $223.69 / $316.00	Facility		$159.78	$223.69	$316.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.10 / $190.47 / $298.94	Professional		$102.10	$190.47	$298.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.17 / $186.79 / $312.33	Professional		$117.17	$186.79	$312.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.25 / $172.42 / $230.49	Professional		$138.25	$172.42	$230.49
United Facility/Professional Professional Modifier Low / Median / High Price $100.37 / $138.38 / $271.88	Professional		$100.37	$138.38	$271.88