Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.35 / $145.35 / $185.83	Facility		$145.35	$145.35	$185.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.41 / $181.84 / $218.90	Professional		$136.41	$181.84	$218.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $340.74 / $340.74 / $340.74	Professional		$340.74	$340.74	$340.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.70 / $197.68 / $369.98	Professional		$171.70	$197.68	$369.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $208.32 / $208.32 / $208.32	Facility		$208.32	$208.32	$208.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.02 / $217.02 / $217.02	Facility		$217.02	$217.02	$217.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $167.84 / $389.09	Professional		$167.84	$167.84	$389.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.53 / $183.53 / $880.66	Professional		$183.53	$183.53	$880.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $216.10 / $248.40 / $470.40	Professional		$216.10	$248.40	$470.40
United Facility/Professional Professional Modifier Low / Median / High Price $177.99 / $244.36 / $429.84	Professional		$177.99	$244.36	$429.84