Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.23 / $199.50 / $515.52	Facility		$100.23	$199.50	$515.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.96 / $112.64 / $158.94	Professional		$94.96	$112.64	$158.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $156.19 / $156.19 / $156.19	Professional		$156.19	$156.19	$156.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $211.07 / $295.50 / $774.63	Facility		$211.07	$295.50	$774.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $175.50 / $336.96	Professional		$106.00	$175.50	$336.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $174.20 / $179.41 / $390.48	Facility		$174.20	$179.41	$390.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $179.41 / $179.41 / $179.41	Professional		$179.41	$179.41	$179.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $140.54 / $140.54	Facility		$140.54	$140.54	$140.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.59 / $102.59 / $243.38	Professional		$102.59	$102.59	$243.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.41 / $211.07 / $293.33	Professional		$160.41	$211.07	$293.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $358.82 / $365.99 / $398.29	Professional		$358.82	$365.99	$398.29
United Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $105.30 / $173.72	Professional		$70.20	$105.30	$173.72