Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $141.25 / $489.78	Facility		$44.67	$141.25	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $107.15 / $199.53	Professional		$38.90	$107.15	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $151.36	Professional		$47.86	$47.86	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $436.52 / $457.09	Professional		$67.61	$436.52	$457.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $128.82 / $257.04	Professional		$46.77	$128.82	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $138.04 / $309.03	Professional		$38.02	$138.04	$309.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $134.90 / $281.84	Professional		$38.90	$134.90	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $114.82 / $229.09	Professional		$41.69	$114.82	$229.09