Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.97 / $204.83 / $349.12	Facility		$146.97	$204.83	$349.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.97 / $190.80 / $314.05	Professional		$146.97	$190.80	$314.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $159.81 / $229.02 / $417.80	Professional		$159.81	$229.02	$417.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.48 / $433.27 / $1,135.79	Facility		$309.48	$433.27	$1,135.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $257.33 / $494.07	Professional		$165.00	$257.33	$494.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $263.06 / $309.48 / $606.58	Facility		$263.06	$309.48	$606.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $263.06 / $263.06 / $263.06	Professional		$263.06	$263.06	$263.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.42 / $216.42 / $244.45	Facility		$216.42	$216.42	$244.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.99 / $212.38 / $388.88	Professional		$157.99	$212.38	$388.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.20 / $309.48 / $430.03	Professional		$235.20	$309.48	$430.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $201.16 / $526.12 / $583.99	Professional		$201.16	$526.12	$583.99
United Facility/Professional Facility Modifier Low / Median / High Price $95.17 / $153.02 / $164.30	Facility		$95.17	$153.02	$164.30
United Facility/Professional Professional Modifier Low / Median / High Price $104.55 / $154.40 / $254.73	Professional		$104.55	$154.40	$254.73