Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.27 / $131.27 / $391.86	Facility		$131.27	$131.27	$391.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.80 / $146.75 / $193.30	Professional		$116.80	$146.75	$193.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.00 / $239.00 / $282.14	Professional		$239.00	$239.00	$282.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.91 / $303.67 / $796.06	Facility		$216.91	$303.67	$796.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.20 / $279.82 / $480.93	Professional		$193.20	$279.82	$480.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $156.52 / $216.91 / $423.21	Facility		$156.52	$216.91	$423.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $184.37 / $184.37 / $184.37	Professional		$184.37	$184.37	$184.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.82 / $211.82 / $211.82	Facility		$211.82	$211.82	$211.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.63 / $154.63 / $246.38	Professional		$154.63	$154.63	$246.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.43 / $216.91 / $468.00	Professional		$148.43	$216.91	$468.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $122.52 / $266.61 / $401.28	Professional		$122.52	$266.61	$401.28
United Facility/Professional Professional Modifier Low / Median / High Price $115.54 / $173.30 / $275.87	Professional		$115.54	$173.30	$275.87