Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.56 / $423.95 / $444.17	Facility		$91.56	$423.95	$444.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.56 / $115.65 / $141.00	Professional		$91.56	$115.65	$141.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.55 / $99.55 / $99.55	Professional		$99.55	$99.55	$99.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.80 / $269.92 / $707.58	Facility		$192.80	$269.92	$707.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.79 / $160.31 / $307.80	Professional		$102.79	$160.31	$307.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $163.88 / $192.80 / $377.89	Facility		$163.88	$192.80	$377.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $163.88 / $163.88 / $163.88	Professional		$163.88	$163.88	$163.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.33 / $138.33 / $203.46	Facility		$138.33	$138.33	$203.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $100.98 / $257.62	Professional		$100.98	$100.98	$257.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.53 / $192.80 / $291.07	Professional		$146.53	$192.80	$291.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $238.36 / $241.00 / $245.82	Professional		$238.36	$241.00	$245.82
United Facility/Professional Professional Modifier Low / Median / High Price $64.12 / $96.19 / $158.69	Professional		$64.12	$96.19	$158.69