Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.09 / $463.30 / $889.70	Facility		$151.09	$463.30	$889.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.47 / $224.38 / $460.54	Professional		$154.47	$224.38	$460.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.00 / $363.00 / $363.00	Professional		$363.00	$363.00	$363.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.14 / $284.48 / $890.78	Facility		$127.14	$284.48	$890.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.98 / $127.14 / $394.13	Professional		$102.98	$127.14	$394.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.45 / $373.30 / $553.34	Facility		$257.45	$373.30	$553.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.91 / $418.35 / $794.15	Facility		$240.91	$418.35	$794.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.62 / $211.76 / $770.12	Professional		$128.62	$211.76	$770.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.42 / $313.35 / $2,007.17	Professional		$191.42	$313.35	$2,007.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $311.51 / $311.51 / $316.66	Professional		$311.51	$311.51	$316.66
United Facility/Professional Professional Modifier Low / Median / High Price $63.67 / $143.03 / $467.81	Professional		$63.67	$143.03	$467.81