Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.34 / $255.75 / $1,031.14	Facility		$92.34	$255.75	$1,031.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.07 / $195.07 / $246.92	Professional		$114.07	$195.07	$246.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.46 / $123.46 / $148.15	Professional		$123.46	$123.46	$148.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.58 / $268.13 / $854.34	Facility		$71.58	$268.13	$854.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.98 / $45.77 / $222.22	Professional		$23.98	$45.77	$222.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.72 / $246.92 / $395.07	Facility		$129.72	$246.92	$395.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $160.50 / $160.50 / $246.92	Professional		$160.50	$160.50	$246.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.04 / $239.82 / $577.63	Facility		$59.04	$239.82	$577.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $60.16 / $341.73	Professional		$60.16	$60.16	$341.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $246.92 / $271.61 / $1,226.00	Professional		$246.92	$271.61	$1,226.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $422.83 / $422.83 / $422.83	Facility		$422.83	$422.83	$422.83
United Facility/Professional Professional Modifier Low / Median / High Price $35.79 / $110.25 / $246.92	Professional		$35.79	$110.25	$246.92