Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $478.63 / $870.96	Facility		$125.89	$478.63	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $467.74	Professional		$154.88	$229.09	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $177.83 / $177.83	Professional		$169.82	$177.83	$177.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $309.03 / $446.68	Facility		$125.89	$309.03	$446.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $131.83 / $346.74	Professional		$107.15	$131.83	$346.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $331.13 / $346.74	Professional		$309.03	$331.13	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $416.87 / $776.25	Facility		$239.88	$416.87	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $213.80 / $707.95	Professional		$128.82	$213.80	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $1,995.26	Professional		$190.55	$316.23	$1,995.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $371.54	Professional		$323.59	$323.59	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $229.09 / $316.23	Facility		$213.80	$229.09	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $123.03 / $363.08	Professional		$67.61	$123.03	$363.08