Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.18 / $212.18 / $359.12	Facility		$151.18	$212.18	$359.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.19 / $190.97 / $359.12	Professional		$150.19	$190.97	$359.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $283.69 / $397.00 / $477.53	Professional		$283.69	$397.00	$477.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $318.35 / $445.69 / $1,168.33	Facility		$318.35	$445.69	$1,168.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.10 / $264.70 / $508.22	Professional		$171.10	$264.70	$508.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $262.68 / $270.60 / $588.95	Facility		$262.68	$270.60	$588.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $270.60 / $270.60 / $270.60	Professional		$270.60	$270.60	$270.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.75 / $176.75 / $180.09	Facility		$176.75	$176.75	$180.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.03 / $129.03 / $367.13	Professional		$129.03	$129.03	$367.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $241.95 / $318.35 / $798.00	Professional		$241.95	$318.35	$798.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $350.58 / $405.90 / $600.73	Professional		$350.58	$405.90	$600.73
United Facility/Professional Professional Modifier Low / Median / High Price $105.88 / $158.82 / $264.70	Professional		$105.88	$158.82	$264.70