Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.11 / $266.05 / $266.05	Facility		$256.11	$266.05	$266.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.20 / $268.49 / $325.26	Professional		$255.20	$268.49	$325.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $250.81 / $284.99 / $289.05	Professional		$250.81	$284.99	$289.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.77 / $257.08 / $258.47	Professional		$206.77	$257.08	$258.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $401.51 / $415.85 / $562.11	Facility		$401.51	$415.85	$562.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $22.70 / $22.70	Professional		$22.70	$22.70	$22.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.00 / $354.00 / $354.00	Professional		$354.00	$354.00	$354.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $133.72 / $258.47 / $258.47	Professional		$133.72	$258.47	$258.47
United Facility/Professional Professional Modifier Low / Median / High Price $258.47 / $258.47 / $258.47	Professional		$258.47	$258.47	$258.47