Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.19 / $332.57 / $1,810.02	Facility		$109.19	$332.57	$1,810.02
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $39.97 / $105.92 / $239.16	Facility	52	$39.97	$105.92	$239.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $169.76 / $346.01	Professional		$78.48	$169.76	$346.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.22 / $341.30 / $370.66	Professional		$138.22	$341.30	$370.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.06 / $260.31 / $521.50	Professional		$74.06	$260.31	$521.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.64 / $101.32 / $127.70	Facility		$74.64	$101.32	$127.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $142.91 / $176.61 / $226.06	Professional		$142.91	$176.61	$226.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.64 / $124.64 / $124.64	Facility		$124.64	$124.64	$124.64
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $99.71 / $99.71 / $99.71	Facility	52	$99.71	$99.71	$99.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.92 / $182.45 / $386.17	Professional		$89.92	$182.45	$386.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.10 / $185.15 / $615.22	Professional		$82.10	$185.15	$615.22
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $121.59 / $121.59 / $251.36	Professional	52	$121.59	$121.59	$251.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.81 / $162.00 / $332.20	Professional		$79.81	$162.00	$332.20
United Facility/Professional Professional Modifier Low / Median / High Price $167.06 / $230.38 / $516.38	Professional		$167.06	$230.38	$516.38