Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $295.12 / $933.25	Facility		$85.11	$295.12	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $537.03	Professional		$81.28	$125.89	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $165.96 / $213.80	Professional		$77.62	$165.96	$213.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $93.33 / $467.74	Facility		$85.11	$93.33	$467.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $104.71 / $109.65	Professional		$85.11	$104.71	$109.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $89.13 / $89.13	Facility		$87.10	$89.13	$89.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $173.78 / $407.38	Professional		$87.10	$173.78	$407.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,467.37 / $5,888.44	Facility		$2,187.76	$3,467.37	$5,888.44
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $309.03 / $436.52	Facility		$158.49	$309.03	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $107.15	Professional		$85.11	$85.11	$107.15