Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $158.49 / $190.55	Facility		$114.82	$158.49	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $338.84	Professional		$112.20	$162.18	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $162.18 / $269.15	Professional		$138.04	$162.18	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $251.19	Professional		$112.20	$158.49	$251.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $177.83 / $288.40	Professional		$117.49	$177.83	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $331.13	Professional		$100.00	$120.23	$331.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $309.03	Professional		$181.97	$245.47	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $141.25 / $169.82	Facility		$107.15	$141.25	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $263.03	Professional		$114.82	$162.18	$263.03