Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $422.20 / $1,245.44	Facility		$164.25	$422.20	$1,245.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.83 / $165.85 / $248.39	Professional		$98.83	$165.85	$248.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.73 / $162.75 / $170.71	Professional		$87.73	$162.75	$170.71
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 / $179.57 / $288.01	Professional		$117.32	$179.57	$288.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.96 / $68.59 / $129.58	Facility		$44.96	$68.59	$129.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.02 / $65.59 / $130.27	Professional		$44.02	$65.59	$130.27
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 $78.91 / $78.91 / $78.91	Professional		$78.91	$78.91	$78.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.23 / $113.55 / $867.92	Professional		$103.23	$113.55	$867.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $282.39 / $383.37 / $430.27	Professional		$282.39	$383.37	$430.27
United Facility/Professional Professional Modifier Low / Median / High Price $143.54 / $214.57 / $297.60	Professional		$143.54	$214.57	$297.60