Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.91 / $310.99 / $919.99	Facility		$130.91	$310.99	$919.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.88 / $165.38 / $333.13	Professional		$128.88	$165.38	$333.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.51 / $204.00 / $344.00	Professional		$109.51	$204.00	$344.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.68 / $385.95 / $1,011.75	Facility		$275.68	$385.95	$1,011.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.74 / $229.23 / $440.12	Professional		$146.74	$229.23	$440.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $227.48 / $234.33 / $510.01	Facility		$227.48	$234.33	$510.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $234.33 / $234.33 / $234.33	Professional		$234.33	$234.33	$234.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $135.00 / $135.00	Facility		$135.00	$135.00	$135.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $143.91 / $244.22	Professional		$98.55	$143.91	$244.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.52 / $275.68 / $383.14	Professional		$209.52	$275.68	$383.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $274.19 / $340.83 / $520.20	Professional		$274.19	$340.83	$520.20
United Facility/Professional Professional Modifier Low / Median / High Price $91.69 / $137.54 / $226.90	Professional		$91.69	$137.54	$226.90