Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.07 / $127.61 / $309.45	Facility		$46.07	$127.61	$309.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.63 / $110.10 / $187.58	Professional		$44.63	$110.10	$187.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $86.00 / $86.00	Professional		$86.00	$86.00	$86.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $194.93 / $411.79	Professional		$42.70	$194.93	$411.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $215.13 / $215.13 / $215.13	Facility		$215.13	$215.13	$215.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Professional		$40.11	$40.11	$40.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.19 / $71.19 / $71.19	Facility		$71.19	$71.19	$71.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.35 / $123.68 / $247.64	Professional		$47.35	$123.68	$247.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $140.10 / $290.83	Professional		$47.10	$140.10	$290.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.96 / $127.40 / $248.03	Professional		$44.96	$127.40	$248.03
United Facility/Professional Facility Modifier Low / Median / High Price $322.50 / $322.50 / $322.50	Facility		$322.50	$322.50	$322.50
United Facility/Professional Professional Modifier Low / Median / High Price $114.34 / $156.10 / $310.20	Professional		$114.34	$156.10	$310.20