Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.30 / $169.30 / $402.17	Facility		$169.30	$169.30	$402.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.38 / $190.25 / $237.62	Professional		$160.38	$190.25	$237.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $184.10 / $184.10 / $184.10	Professional		$184.10	$184.10	$184.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $356.51 / $499.11 / $1,308.39	Facility		$356.51	$499.11	$1,308.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.79 / $296.43 / $569.15	Professional		$189.79	$296.43	$569.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $294.20 / $303.02 / $659.54	Facility		$294.20	$303.02	$659.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $303.02 / $303.02 / $303.02	Professional		$303.02	$303.02	$303.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.94 / $197.94 / $197.94	Facility		$197.94	$197.94	$197.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.50 / $197.94 / $411.00	Professional		$144.50	$197.94	$411.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $270.95 / $356.51 / $495.65	Professional		$270.95	$356.51	$495.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $352.86 / $456.08 / $659.54	Professional		$352.86	$456.08	$659.54
United Facility/Professional Professional Modifier Low / Median / High Price $118.57 / $177.86 / $293.45	Professional		$118.57	$177.86	$293.45