Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.94 / $442.33 / $831.60	Facility		$163.94	$442.33	$831.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.94 / $214.47 / $275.42	Professional		$163.94	$214.47	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $347.59 / $347.59 / $347.59	Professional		$347.59	$347.59	$347.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.69 / $267.70 / $852.96	Facility		$163.69	$267.70	$852.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $197.71 / $469.56	Professional		$73.73	$197.71	$469.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $246.52 / $357.45 / $529.84	Facility		$246.52	$357.45	$529.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.53 / $400.60 / $683.68	Facility		$161.53	$400.60	$683.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.41 / $330.99 / $954.63	Professional		$112.41	$330.99	$954.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $246.52 / $338.28 / $1,922.82	Professional		$246.52	$338.28	$1,922.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $298.29 / $345.13 / $456.06	Professional		$298.29	$345.13	$456.06
United Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $147.91 / $431.53	Professional		$103.54	$147.91	$431.53