Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.47 / $267.14 / $323.25	Facility		$163.47	$267.14	$323.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.31 / $194.56 / $332.13	Professional		$147.31	$194.56	$332.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $224.30 / $307.68 / $876.13	Professional		$224.30	$307.68	$876.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.28 / $225.16 / $375.60	Professional		$169.28	$225.16	$375.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $186.25 / $236.41 / $317.19	Facility		$186.25	$236.41	$317.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $193.34 / $241.68 / $317.92	Professional		$193.34	$241.68	$317.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.39 / $240.39 / $240.39	Facility		$240.39	$240.39	$240.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.52 / $270.17 / $434.48	Professional		$181.52	$270.17	$434.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.21 / $253.50 / $488.35	Professional		$191.21	$253.50	$488.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $180.60 / $304.10 / $545.79	Professional		$180.60	$304.10	$545.79
United Facility/Professional Professional Modifier Low / Median / High Price $205.12 / $264.67 / $415.29	Professional		$205.12	$264.67	$415.29