Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.90 / $496.39 / $994.19	Facility		$49.90	$496.39	$994.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.59 / $108.05 / $146.41	Professional		$85.59	$108.05	$146.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.30 / $93.95 / $156.59	Professional		$78.30	$93.95	$156.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.17 / $170.04 / $541.79	Facility		$44.17	$170.04	$541.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.98 / $45.77 / $140.93	Professional		$23.98	$45.77	$140.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.31 / $156.59 / $250.54	Facility		$80.31	$156.59	$250.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.78 / $101.78 / $156.59	Professional		$101.78	$101.78	$156.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.04 / $203.56 / $366.84	Facility		$59.04	$203.56	$366.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.33 / $82.33 / $216.56	Professional		$82.33	$82.33	$216.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.59 / $172.25 / $791.00	Professional		$156.59	$172.25	$791.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $124.88 / $258.37 / $310.36	Facility		$124.88	$258.37	$310.36
United Facility/Professional Professional Modifier Low / Median / High Price $20.45 / $65.77 / $156.59	Professional		$20.45	$65.77	$156.59