Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $245.47 / $478.63	Facility		$95.50	$245.47	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $263.03	Professional		$85.11	$123.03	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $70.79 / $194.98	Professional		$66.07	$70.79	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $181.97 / $245.47	Facility		$93.33	$181.97	$245.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $181.97	Professional		$63.10	$95.50	$181.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $199.53 / $309.03	Facility		$169.82	$199.53	$309.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $186.21 / $190.55	Professional		$169.82	$186.21	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $234.42 / $436.52	Facility		$141.25	$234.42	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $144.54 / $426.58	Professional		$70.79	$144.54	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $1,122.02	Professional		$128.82	$162.18	$1,122.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $177.83 / $204.17	Professional		$173.78	$177.83	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $128.82 / $158.49	Facility		$104.71	$128.82	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $83.18 / $190.55	Professional		$52.48	$83.18	$190.55