Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.90 / $315.76 / $3,335.00	Facility		$213.90	$315.76	$3,335.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.93 / $213.90 / $290.26	Professional		$168.93	$213.90	$290.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.16 / $273.22 / $273.22	Professional		$147.16	$273.22	$273.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.04 / $414.12 / $445.70	Facility		$227.04	$414.12	$445.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.32 / $211.13 / $381.89	Professional		$117.32	$211.13	$381.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.67 / $97.00 / $162.78	Facility		$64.67	$97.00	$162.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.00 / $106.00 / $133.00	Facility		$106.00	$106.00	$133.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.27 / $146.27 / $146.27	Professional		$146.27	$146.27	$146.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $201.42 / $221.56 / $1,130.28	Professional		$201.42	$221.56	$1,130.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $453.63 / $469.83 / $527.21	Professional		$453.63	$469.83	$527.21
United Facility/Professional Professional Modifier Low / Median / High Price $151.65 / $219.89 / $398.01	Professional		$151.65	$219.89	$398.01