Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $467.74 / $1,096.48	Facility		$151.36	$467.74	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $288.40	Professional		$125.89	$173.78	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $416.87	Professional		$218.78	$288.40	$416.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $275.42 / $977.24	Facility		$177.83	$275.42	$977.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $223.87 / $436.52	Professional		$93.33	$223.87	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $478.63 / $758.58	Facility		$109.65	$478.63	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $245.47 / $512.86	Professional		$125.89	$245.47	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $380.19 / $549.54	Professional		$213.80	$380.19	$549.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $346.74 / $588.84	Professional		$234.42	$346.74	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $204.17	Facility		$95.50	$95.50	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $245.47 / $457.09	Professional		$112.20	$245.47	$457.09