Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.23 / $97.31 / $194.34	Facility		$78.23	$97.31	$194.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.75 / $92.66 / $140.72	Professional		$71.75	$92.66	$140.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.48 / $127.48 / $288.36	Professional		$127.48	$127.48	$288.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.27 / $241.18 / $632.23	Facility		$172.27	$241.18	$632.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.77 / $143.24 / $275.02	Professional		$85.77	$143.24	$275.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $133.90 / $146.43 / $318.70	Facility		$133.90	$146.43	$318.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $146.43 / $146.43 / $146.43	Professional		$146.43	$146.43	$146.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.38 / $115.38 / $141.93	Facility		$115.38	$115.38	$141.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $108.01 / $191.31	Professional		$84.23	$108.01	$191.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.93 / $172.27 / $239.24	Professional		$130.93	$172.27	$239.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $111.98 / $292.86 / $325.08	Professional		$111.98	$292.86	$325.08
United Facility/Professional Professional Modifier Low / Median / High Price $57.30 / $82.36 / $141.80	Professional		$57.30	$82.36	$141.80