Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.68 / $237.68 / $687.40	Facility		$86.68	$237.68	$687.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.68 / $118.18 / $259.80	Professional		$86.68	$118.18	$259.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $183.79 / $183.79 / $183.79	Professional		$183.79	$183.79	$183.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.08 / $154.44 / $451.01	Facility		$94.08	$154.44	$451.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.37 / $64.37 / $237.92	Professional		$64.37	$64.37	$237.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.35 / $189.01 / $280.16	Facility		$130.35	$189.01	$280.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.72 / $211.83 / $402.29	Facility		$127.72	$211.83	$402.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.12 / $156.63 / $442.98	Professional		$65.12	$156.63	$442.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.35 / $185.10 / $1,017.17	Professional		$130.35	$185.10	$1,017.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $126.83 / $160.33 / $241.15	Professional		$126.83	$160.33	$241.15
United Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $80.70 / $236.86	Professional		$54.75	$80.70	$236.86