Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.46 / $110.36 / $489.32	Facility		$46.46	$110.36	$489.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.46 / $58.76 / $97.83	Professional		$46.46	$58.76	$97.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $69.95 / $127.18	Professional		$38.86	$69.95	$127.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.83 / $136.96 / $359.04	Facility		$97.83	$136.96	$359.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.69 / $81.34 / $156.19	Professional		$53.69	$81.34	$156.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.16 / $136.96 / $171.20	Facility		$83.16	$136.96	$171.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.16 / $97.83 / $136.96	Professional		$83.16	$97.83	$136.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.18 / $72.18 / $72.18	Facility		$72.18	$72.18	$72.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.69 / $61.93 / $113.25	Professional		$52.69	$61.93	$113.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.34 / $97.83 / $147.18	Professional		$74.34	$97.83	$147.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.95 / $122.29 / $124.74	Professional		$120.95	$122.29	$124.74
United Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $48.81 / $95.54	Professional		$33.04	$48.81	$95.54