Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.03 / $310.76 / $717.58	Facility		$142.03	$310.76	$717.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.84 / $190.00 / $435.41	Professional		$131.84	$190.00	$435.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.71 / $265.44 / $307.81	Professional		$158.71	$265.44	$307.81
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 $143.19 / $205.19 / $431.05	Professional		$143.19	$205.19	$431.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $191.32 / $223.20 / $265.26	Facility		$191.32	$223.20	$265.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $164.46 / $164.46 / $370.67	Professional		$164.46	$164.46	$370.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.65 / $248.69 / $348.16	Facility		$231.65	$248.69	$348.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.47 / $282.58 / $453.28	Professional		$157.47	$282.58	$453.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.37 / $290.73 / $463.81	Professional		$182.37	$290.73	$463.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $215.18 / $271.02 / $360.89	Professional		$215.18	$271.02	$360.89
United Facility/Professional Professional Modifier Low / Median / High Price $147.58 / $203.06 / $409.25	Professional		$147.58	$203.06	$409.25