Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.50 / $220.52 / $405.42	Facility		$85.50	$220.52	$405.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $142.63 / $249.00	Professional		$92.71	$142.63	$249.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $201.11 / $225.09	Professional		$29.00	$201.11	$225.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.88 / $155.46 / $185.52	Facility		$86.88	$155.46	$185.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.49 / $57.05 / $176.85	Professional		$48.49	$57.05	$176.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $206.81 / $306.55	Facility		$142.63	$206.81	$306.55
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 / $224.36 / $403.67	Facility		$142.22	$224.36	$403.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.63 / $125.63 / $426.66	Professional		$70.63	$125.63	$426.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.37 / $164.02 / $1,112.38	Professional		$128.37	$164.02	$1,112.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $786.44 / $1,261.90 / $1,274.00	Facility		$786.44	$1,261.90	$1,274.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.78 / $175.43 / $254.59	Professional		$138.78	$175.43	$254.59
United Facility/Professional Professional Modifier Low / Median / High Price $95.09 / $158.47 / $254.54	Professional		$95.09	$158.47	$254.54