Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.29 / $253.03 / $552.60	Facility		$78.29	$253.03	$552.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.59 / $77.15 / $169.38	Professional		$56.59	$77.15	$169.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.99 / $119.99 / $119.99	Professional		$119.99	$119.99	$119.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.52 / $94.04 / $294.45	Facility		$57.52	$94.04	$294.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $42.02 / $130.26	Professional		$42.02	$42.02	$130.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.10 / $119.14 / $182.97	Facility		$85.10	$119.14	$182.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.10 / $102.12 / $110.63	Professional		$85.10	$102.12	$110.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.55 / $138.30 / $262.29	Facility		$79.55	$138.30	$262.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $89.62 / $256.83	Professional		$42.55	$89.62	$256.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.59 / $113.94 / $663.62	Professional		$76.59	$113.94	$663.62
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $282.91 / $339.83 / $398.98	Facility		$282.91	$339.83	$398.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.97 / $102.97 / $104.67	Professional		$102.97	$102.97	$104.67
United Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $51.06 / $154.63	Professional		$35.74	$51.06	$154.63