Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.55 / $173.03 / $24,044.29	Facility		$172.55	$173.03	$24,044.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.55 / $173.03 / $208.79	Professional		$172.55	$173.03	$208.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $272.30 / $272.30 / $300.00	Professional		$272.30	$272.30	$300.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $281.69 / $635.02	Facility		$173.03	$281.69	$635.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $176.49	Professional		$173.03	$173.03	$176.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $173.03 / $276.85	Facility		$173.03	$173.03	$276.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $172.55 / $173.03 / $276.85	Professional		$172.55	$173.03	$276.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $163.24 / $173.03	Facility		$163.24	$163.24	$173.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $217.40	Professional		$173.03	$173.03	$217.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.93 / $165.71 / $285.56	Professional		$115.93	$165.71	$285.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $143.60 / $238.78 / $347.19	Professional		$143.60	$238.78	$347.19
United Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $217.40	Professional		$173.03	$173.03	$217.40