Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.69 / $310.58 / $323.64	Facility		$105.69	$310.58	$323.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.23 / $105.69 / $170.16	Professional		$90.23	$105.69	$170.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.63 / $172.87 / $177.92	Professional		$96.63	$172.87	$177.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $388.00 / $396.00 / $800.00	Facility		$388.00	$396.00	$800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.15 / $141.02 / $233.82	Professional		$89.15	$141.02	$233.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $136.93 / $136.93 / $136.93	Facility		$136.93	$136.93	$136.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.67 / $93.67 / $93.67	Professional		$93.67	$93.67	$93.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.35 / $547.00 / $1,049.00	Facility		$116.35	$547.00	$1,049.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.85 / $144.11 / $252.00	Professional		$99.85	$144.11	$252.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.79 / $128.43 / $401.43	Professional		$98.79	$128.43	$401.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $88.45 / $134.13 / $190.14	Professional		$88.45	$134.13	$190.14
United Facility/Professional Professional Modifier Low / Median / High Price $93.75 / $126.73 / $208.28	Professional		$93.75	$126.73	$208.28