Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.61 / $231.03 / $504.49	Facility		$85.61	$231.03	$504.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.61 / $132.32 / $270.60	Professional		$85.61	$132.32	$270.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.51 / $181.51 / $181.51	Professional		$181.51	$181.51	$181.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.57 / $142.25 / $445.41	Facility		$63.57	$142.25	$445.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $63.57 / $197.06	Professional		$51.49	$63.57	$197.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.72 / $186.66 / $276.67	Facility		$128.72	$186.66	$276.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.78 / $209.18 / $397.08	Facility		$114.78	$209.18	$397.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $116.92 / $437.23	Professional		$64.31	$116.92	$437.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.97 / $141.60 / $1,003.59	Professional		$82.97	$141.60	$1,003.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $155.76 / $155.76 / $158.34	Professional		$155.76	$155.76	$158.34
United Facility/Professional Professional Modifier Low / Median / High Price $30.88 / $57.93 / $233.92	Professional		$30.88	$57.93	$233.92