Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $158.49 / $346.74	Facility		$67.61	$158.49	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $177.83	Professional		$67.61	$95.50	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $194.98	Professional		$64.57	$64.57	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $112.20 / $144.54	Facility		$61.66	$112.20	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $40.74 / $229.09	Professional		$36.31	$40.74	$229.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $144.54 / $218.78	Facility		$123.03	$144.54	$218.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $131.83 / $138.04	Professional		$123.03	$131.83	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $165.96 / $309.03	Facility		$102.33	$165.96	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $117.49 / $398.11	Professional		$46.77	$117.49	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $117.49 / $794.33	Professional		$91.20	$117.49	$794.33
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $602.56	Facility		$346.74	$346.74	$602.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $218.78	Professional		$102.33	$125.89	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $91.20 / $102.33	Facility		$61.66	$91.20	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $61.66 / $141.25	Professional		$42.66	$61.66	$141.25