Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.95 / $161.33 / $637.70	Facility		$60.95	$161.33	$637.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.95 / $85.24 / $131.06	Professional		$60.95	$85.24	$131.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.24 / $129.24 / $129.24	Professional		$129.24	$129.24	$129.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.16 / $117.11 / $317.14	Facility		$66.16	$117.11	$317.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.95 / $82.49 / $199.82	Professional		$33.95	$82.49	$199.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $132.91 / $197.07	Facility		$91.66	$132.91	$197.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.73 / $148.94 / $282.14	Facility		$81.73	$148.94	$282.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.63 / $129.38 / $388.34	Professional		$45.63	$129.38	$388.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $125.69 / $715.32	Professional		$91.66	$125.69	$715.32
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $678.12 / $814.55 / $1,011.34	Facility		$678.12	$814.55	$1,011.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.91 / $128.32 / $169.57	Professional		$110.91	$128.32	$169.57
United Facility/Professional Facility Modifier Low / Median / High Price $82.49 / $82.49 / $82.49	Facility		$82.49	$82.49	$82.49
United Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $62.53 / $167.46	Professional		$38.50	$62.53	$167.46