Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.13 / $140.13 / $365.81	Facility		$140.13	$140.13	$365.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.85 / $177.02 / $214.69	Professional		$132.85	$177.02	$214.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $284.58 / $284.58 / $284.58	Professional		$284.58	$284.58	$284.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.89 / $342.85 / $898.75	Facility		$244.89	$342.85	$898.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.88 / $230.89 / $465.92	Professional		$172.88	$230.89	$465.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.70 / $244.89 / $453.05	Facility		$190.70	$244.89	$453.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.16 / $208.16 / $208.16	Professional		$208.16	$208.16	$208.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.95 / $214.95 / $214.95	Facility		$214.95	$214.95	$214.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $214.95 / $256.13	Professional		$156.91	$214.95	$256.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.66 / $244.89 / $475.60	Professional		$187.66	$244.89	$475.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $224.35 / $313.83 / $453.05	Professional		$224.35	$313.83	$453.05
United Facility/Professional Professional Modifier Low / Median / High Price $109.55 / $161.78 / $270.98	Professional		$109.55	$161.78	$270.98