Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $776.25 / $954.99	Facility		$186.21	$776.25	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $245.47 / $416.87	Professional		$100.00	$245.47	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $177.83 / $177.83	Professional		$169.82	$177.83	$177.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $309.03 / $398.11	Facility		$173.78	$309.03	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $112.20 / $575.44	Professional		$46.77	$112.20	$575.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $398.11 / $602.56	Facility		$338.84	$398.11	$602.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $371.54 / $380.19	Professional		$338.84	$371.54	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $457.09 / $851.14	Facility		$257.04	$457.09	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $323.59 / $1,122.02	Professional		$128.82	$323.59	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $2,187.76	Professional		$257.04	$323.59	$2,187.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $346.74 / $602.56	Professional		$281.84	$346.74	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $257.04 / $281.84	Facility		$169.82	$257.04	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $389.05	Professional		$117.49	$169.82	$389.05