Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $213.80 / $389.05	Facility		$43.65	$213.80	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $190.55 / $398.11	Professional		$144.54	$190.55	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $363.08 / $478.63	Professional		$331.13	$363.08	$478.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $776.25 / $1,202.26	Facility		$323.59	$776.25	$1,202.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $263.03 / $389.05	Professional		$177.83	$263.03	$389.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $501.19	Facility		$177.83	$177.83	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $363.08	Professional		$128.82	$128.82	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $323.59 / $588.84	Professional		$208.93	$323.59	$588.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $426.58	Professional		$371.54	$371.54	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $138.04 / $190.55	Facility		$89.13	$138.04	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $275.42	Professional		$104.71	$154.88	$275.42