Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.80 / $266.30 / $518.50	Facility		$116.80	$266.30	$518.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $266.30 / $266.30	Professional		$144.00	$266.30	$266.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $140.00 / $294.51	Professional		$140.00	$140.00	$294.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $267.37 / $290.10 / $290.10	Facility		$267.37	$290.10	$290.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.77 / $150.69 / $267.37	Professional		$142.77	$150.69	$267.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $272.70 / $280.74 / $547.45	Facility		$272.70	$280.74	$547.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $401.45 / $401.45 / $401.45	Professional		$401.45	$401.45	$401.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.70 / $272.70 / $272.70	Facility		$272.70	$272.70	$272.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $272.70 / $272.70	Professional		$272.70	$272.70	$272.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.31 / $98.78 / $299.98	Professional		$53.31	$98.78	$299.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $202.81 / $283.93 / $309.88	Professional		$202.81	$283.93	$309.88
United Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $267.37 / $409.08	Professional		$267.37	$267.37	$409.08