Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.10 / $227.28 / $333.84	Facility		$227.10	$227.28	$333.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.10 / $227.28 / $274.79	Professional		$227.10	$227.28	$274.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $400.00	Professional		$400.00	$400.00	$400.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.28 / $363.65 / $834.12	Facility		$227.28	$363.65	$834.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $227.28 / $231.82	Professional		$227.28	$227.28	$231.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $227.28 / $227.28 / $445.47	Facility		$227.28	$227.28	$445.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $227.28 / $227.28	Professional		$227.28	$227.28	$227.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.41 / $214.41 / $227.28	Facility		$214.41	$214.41	$227.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $227.28 / $289.45	Professional		$227.28	$227.28	$289.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.04 / $246.50 / $515.41	Professional		$176.04	$246.50	$515.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $220.50 / $313.64 / $456.05	Professional		$220.50	$313.64	$456.05
United Facility/Professional Facility Modifier Low / Median / High Price $221.71 / $432.33 / $432.33	Facility		$221.71	$432.33	$432.33
United Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $239.67 / $291.48	Professional		$227.28	$239.67	$291.48