Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.63 / $159.63 / $204.08	Facility		$159.63	$159.63	$204.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.77 / $196.02 / $277.99	Professional		$153.77	$196.02	$277.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $195.29 / $359.85 / $372.30	Professional		$195.29	$359.85	$372.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.47 / $204.50 / $401.27	Professional		$181.47	$204.50	$401.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $216.01 / $216.01 / $216.01	Facility		$216.01	$216.01	$216.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.54 / $234.54 / $234.54	Facility		$234.54	$234.54	$234.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.31 / $183.31 / $425.12	Professional		$183.31	$183.31	$425.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.53 / $200.53 / $972.69	Professional		$200.53	$200.53	$972.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $208.30 / $239.60 / $514.60	Professional		$208.30	$239.60	$514.60
United Facility/Professional Professional Modifier Low / Median / High Price $190.60 / $257.05 / $425.67	Professional		$190.60	$257.05	$425.67