Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.97 / $167.83 / $506.74	Facility		$51.97	$167.83	$506.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $89.98 / $213.18	Professional		$60.00	$89.98	$213.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.55 / $116.86 / $249.22	Professional		$81.55	$116.86	$249.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.91 / $221.09 / $579.57	Facility		$157.91	$221.09	$579.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.19 / $131.31 / $252.12	Professional		$83.19	$131.31	$252.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $105.96 / $189.50 / $252.67	Facility		$105.96	$189.50	$252.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.22 / $155.83 / $221.09	Professional		$134.22	$155.83	$221.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.64 / $86.64 / $91.83	Facility		$86.64	$86.64	$91.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $78.91 / $130.88	Professional		$63.25	$78.91	$130.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.02 / $157.91 / $219.35	Professional		$120.02	$157.91	$219.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.70 / $197.40 / $296.68	Professional		$104.70	$197.40	$296.68
United Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $74.97 / $130.00	Professional		$52.52	$74.97	$130.00