Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $575.44 / $933.25	Facility		$190.55	$575.44	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $489.78	Professional		$173.78	$251.19	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $302.00 / $389.05	Facility		$165.96	$302.00	$389.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $109.65 / $562.34	Professional		$60.26	$109.65	$562.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $389.05 / $588.84	Facility		$331.13	$389.05	$588.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $354.81 / $371.54	Professional		$331.13	$354.81	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $446.68 / $831.76	Facility		$208.93	$446.68	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $281.84 / $1,071.52	Professional		$125.89	$281.84	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $2,137.96	Professional		$245.47	$316.23	$2,137.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $338.84 / $588.84	Professional		$275.42	$338.84	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $245.47 / $275.42	Facility		$165.96	$245.47	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $380.19	Professional		$114.82	$165.96	$380.19