Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.81 / $158.71 / $669.74	Facility		$105.81	$158.71	$669.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.98 / $105.81 / $477.60	Professional		$101.98	$105.81	$477.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.24 / $115.27 / $115.27	Facility		$106.24	$115.27	$115.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.50 / $106.24 / $111.43	Professional		$103.50	$106.24	$111.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $108.36 / $111.55 / $217.52	Facility		$108.36	$111.55	$217.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.36 / $108.36 / $108.36	Facility		$108.36	$108.36	$108.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.36 / $108.36 / $108.36	Professional		$108.36	$108.36	$108.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.75 / $297.00 / $461.00	Professional		$97.75	$297.00	$461.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $196.96 / $275.74 / $300.92	Professional		$196.96	$275.74	$300.92
United Facility/Professional Professional Modifier Low / Median / High Price $106.24 / $106.24 / $127.48	Professional		$106.24	$106.24	$127.48