Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.31 / $145.03 / $406.68	Facility		$85.31	$145.03	$406.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $112.35 / $272.19	Professional		$67.98	$112.35	$272.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $180.89 / $180.89 / $180.89	Professional		$180.89	$180.89	$180.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.55 / $141.76 / $443.88	Facility		$83.55	$141.76	$443.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $63.35 / $246.32	Professional		$63.35	$63.35	$246.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.29 / $179.61 / $275.82	Facility		$128.29	$179.61	$275.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.29 / $153.94 / $166.78	Professional		$128.29	$153.94	$166.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.39 / $226.30 / $400.35	Facility		$114.39	$226.30	$400.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $116.62 / $400.32	Professional		$64.15	$116.62	$400.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.46 / $148.27 / $1,000.85	Professional		$115.46	$148.27	$1,000.85
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $273.18 / $328.14 / $413.91	Facility		$273.18	$328.14	$413.91
United Facility/Professional Professional Modifier Low / Median / High Price $53.88 / $76.97 / $233.12	Professional		$53.88	$76.97	$233.12