Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.68 / $211.46 / $262.76	Facility		$132.68	$211.46	$262.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.89 / $155.04 / $268.02	Professional		$118.89	$155.04	$268.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $232.82 / $557.04	Professional		$140.00	$232.82	$557.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.96 / $179.26 / $303.55	Professional		$125.96	$179.26	$303.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.55 / $176.27 / $235.75	Facility		$138.55	$176.27	$235.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $147.97 / $184.98 / $242.66	Professional		$147.97	$184.98	$242.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.68 / $178.68 / $178.68	Facility		$178.68	$178.68	$178.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.62 / $216.42 / $343.43	Professional		$146.62	$216.42	$343.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.57 / $193.47 / $364.13	Professional		$142.57	$193.47	$364.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,568.00 / $2,568.00 / $2,568.00	Facility		$2,568.00	$2,568.00	$2,568.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.84 / $254.10 / $448.30	Professional		$138.84	$254.10	$448.30
United Facility/Professional Professional Modifier Low / Median / High Price $163.34 / $214.80 / $327.73	Professional		$163.34	$214.80	$327.73