Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.56 / $1,772.01 / $2,665.33	Facility		$126.56	$1,772.01	$2,665.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.56 / $160.06 / $210.05	Professional		$126.56	$160.06	$210.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.62 / $137.62 / $185.00	Professional		$137.62	$137.62	$185.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $266.51 / $373.11 / $978.09	Facility		$266.51	$373.11	$978.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $221.60 / $425.47	Professional		$125.00	$221.60	$425.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $226.53 / $266.51 / $522.36	Facility		$226.53	$266.51	$522.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $226.53 / $226.53 / $226.53	Professional		$226.53	$226.53	$226.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.81 / $175.81 / $191.33	Facility		$175.81	$175.81	$191.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.34 / $175.81 / $351.75	Professional		$128.34	$175.81	$351.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.55 / $266.51 / $370.17	Professional		$202.55	$266.51	$370.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $453.07 / $462.13 / $502.90	Professional		$453.07	$462.13	$502.90
United Facility/Professional Professional Modifier Low / Median / High Price $88.64 / $132.96 / $219.36	Professional		$88.64	$132.96	$219.36