Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.16 / $93.16 / $221.28	Facility		$93.16	$93.16	$221.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.25 / $114.25 / $173.51	Professional		$88.25	$114.25	$173.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $284.42 / $284.42 / $284.42	Professional		$284.42	$284.42	$284.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $196.15 / $274.61 / $719.87	Facility		$196.15	$274.61	$719.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.58 / $163.10 / $313.14	Professional		$104.58	$163.10	$313.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $161.88 / $166.73 / $362.88	Facility		$161.88	$166.73	$362.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $166.73 / $166.73 / $166.73	Professional		$166.73	$166.73	$166.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.22 / $112.22 / $112.22	Facility		$112.22	$112.22	$112.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $81.92 / $232.98	Professional		$81.92	$81.92	$232.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $149.07 / $196.15 / $346.57	Professional		$149.07	$196.15	$346.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.04 / $242.50 / $362.88	Professional		$110.04	$242.50	$362.88
United Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $96.57 / $161.46	Professional		$65.23	$96.57	$161.46