Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.85 / $256.00 / $455.70	Facility		$94.85	$256.00	$455.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $103.88 / $269.93	Professional		$92.71	$103.88	$269.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $201.11 / $201.11	Professional		$71.31	$201.11	$201.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.51 / $182.22 / $493.50	Facility		$125.51	$182.22	$493.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.05 / $142.63 / $228.41	Professional		$57.05	$142.63	$228.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $199.68 / $306.64	Facility		$142.63	$199.68	$306.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $171.16 / $185.42	Professional		$142.63	$171.16	$185.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.22 / $231.78 / $439.92	Facility		$142.22	$231.78	$439.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $126.86 / $426.66	Professional		$67.73	$126.86	$426.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $195.68 / $1,112.38	Professional		$142.63	$195.68	$1,112.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $466.94 / $560.89 / $707.50	Facility		$466.94	$560.89	$707.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $172.58 / $199.68 / $263.87	Professional		$172.58	$199.68	$263.87
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $85.58 / $259.17	Professional		$59.90	$85.58	$259.17