Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.51 / $720.51 / $720.51	Facility		$720.51	$720.51	$720.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.59 / $135.05 / $253.00	Professional		$95.59	$135.05	$253.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.81 / $245.81 / $245.81	Professional		$245.81	$245.81	$245.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $126.45 / $283.19	Professional		$71.56	$126.45	$283.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $172.50 / $201.25 / $309.06	Facility		$172.50	$201.25	$309.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $143.75 / $143.75 / $172.50	Professional		$143.75	$143.75	$172.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.68 / $176.47 / $429.03	Professional		$71.68	$176.47	$429.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.38 / $201.25 / $1,120.50	Professional		$129.38	$201.25	$1,120.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $143.75 / $217.06 / $256.58	Professional		$143.75	$217.06	$256.58
United Facility/Professional Professional Modifier Low / Median / High Price $86.25 / $143.75 / $337.81	Professional		$86.25	$143.75	$337.81