Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.65 / $97.75 / $332.62	Facility		$69.65	$97.75	$332.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.61 / $84.75 / $185.25	Professional		$56.61	$84.75	$185.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $75.73 / $110.00	Professional		$42.00	$75.73	$110.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.66 / $205.32 / $538.24	Facility		$146.66	$205.32	$538.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $121.95 / $234.14	Professional		$67.73	$121.95	$234.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $94.31 / $124.66 / $271.32	Facility		$94.31	$124.66	$271.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $124.66 / $124.66 / $124.66	Professional		$124.66	$124.66	$124.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.33 / $88.85 / $88.85	Facility		$84.33	$88.85	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $78.50 / $143.63	Professional		$64.86	$78.50	$143.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.46 / $146.66 / $204.08	Professional		$111.46	$146.66	$204.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $115.02 / $187.62 / $271.32	Professional		$115.02	$187.62	$271.32
United Facility/Professional Professional Modifier Low / Median / High Price $48.78 / $68.87 / $120.72	Professional		$48.78	$68.87	$120.72