Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $190.55 / $794.33	Facility		$50.12	$190.55	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $186.21	Professional		$87.10	$109.65	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $93.33 / $97.72	Professional		$77.62	$93.33	$97.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $154.88 / $199.53	Facility		$45.71	$154.88	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $45.71 / $147.91	Professional		$31.62	$45.71	$147.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $102.33 / $229.09	Facility		$79.43	$102.33	$229.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $154.88	Professional		$102.33	$102.33	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $245.47 / $309.03	Facility		$104.71	$245.47	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $218.78	Professional		$83.18	$83.18	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $173.78 / $602.56	Professional		$154.88	$173.78	$602.56
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $331.13	Facility		$218.78	$218.78	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $141.25 / $154.88	Facility		$74.13	$141.25	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $70.79 / $204.17	Professional		$20.42	$70.79	$204.17