Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $263.03 / $575.44	Facility		$112.20	$263.03	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $234.42	Professional		$100.00	$144.54	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $186.21 / $223.87	Facility		$109.65	$186.21	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $141.25 / $251.19	Professional		$67.61	$141.25	$251.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $218.78 / $229.09	Professional		$204.17	$218.78	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $275.42 / $512.86	Facility		$123.03	$275.42	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $173.78 / $549.54	Professional		$75.86	$173.78	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $1,318.26	Professional		$151.36	$218.78	$1,318.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $363.08	Professional		$169.82	$208.93	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $151.36 / $169.82	Facility		$77.62	$151.36	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $77.62 / $218.78	Professional		$64.57	$77.62	$218.78