Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.34 / $147.27 / $308.27	Facility		$77.34	$147.27	$308.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.27 / $95.39 / $113.67	Professional		$73.27	$95.39	$113.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $211.08 / $211.08 / $211.08	Professional		$211.08	$211.08	$211.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.87 / $228.02 / $597.73	Facility		$162.87	$228.02	$597.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.83 / $135.41 / $260.01	Professional		$86.83	$135.41	$260.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.44 / $160.91 / $301.31	Facility		$138.44	$160.91	$301.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $138.44 / $138.44 / $138.44	Professional		$138.44	$138.44	$138.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $117.36 / $126.78	Facility		$117.36	$117.36	$126.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $117.36 / $201.61	Professional		$85.67	$117.36	$201.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.78 / $162.87 / $227.36	Professional		$123.78	$162.87	$227.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $201.36 / $203.59 / $207.66	Professional		$201.36	$203.59	$207.66
United Facility/Professional Professional Modifier Low / Median / High Price $54.17 / $81.25 / $134.06	Professional		$54.17	$81.25	$134.06