Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $218.78 / $478.63	Facility		$114.82	$218.78	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $245.47	Professional		$81.28	$112.20	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $194.98	Professional		$85.11	$120.23	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $213.80	Professional		$93.33	$125.89	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $158.49 / $316.23	Facility		$95.50	$158.49	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $162.18 / $316.23	Professional		$100.00	$162.18	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $141.25 / $269.15	Professional		$120.23	$141.25	$269.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $154.88 / $173.78	Professional		$147.91	$154.88	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $269.15	Professional		$93.33	$125.89	$269.15