Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.85 / $1,562.32 / $5,805.12	Facility		$167.85	$1,562.32	$5,805.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.44 / $178.21 / $928.77	Professional		$176.44	$178.21	$928.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $286.47 / $288.55	Professional		$155.41	$286.47	$288.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.45 / $282.32 / $647.57	Facility		$176.45	$282.32	$647.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $220.98	Professional		$176.45	$176.45	$220.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $176.45 / $176.45 / $282.32	Facility		$176.45	$176.45	$282.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $176.45 / $282.32	Professional		$155.41	$176.45	$282.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.46 / $166.46 / $176.45	Facility		$166.46	$166.46	$176.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $331.86	Professional		$176.45	$176.45	$331.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.79 / $242.34 / $470.59	Professional		$180.79	$242.34	$470.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $315.94 / $417.40	Professional		$176.45	$315.94	$417.40
United Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $187.04 / $234.87	Professional		$176.45	$187.04	$234.87