Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $223.87 / $933.25	Facility		$109.65	$223.87	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $169.82 / $457.09	Professional		$75.86	$169.82	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $338.84 / $380.19	Professional		$181.97	$338.84	$380.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $524.81 / $549.54	Professional		$117.49	$524.81	$549.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $93.33 / $134.90	Facility		$70.79	$93.33	$134.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $223.87	Professional		$141.25	$169.82	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $169.82 / $363.08	Professional		$89.13	$169.82	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $177.83 / $501.19	Professional		$70.79	$177.83	$501.19
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $120.23 / $120.23 / $251.19	Professional	52	$120.23	$120.23	$251.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $165.96 / $363.08	Professional		$72.44	$165.96	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $165.96 / $354.81	Professional		$79.43	$165.96	$354.81