Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.91 / $130.91 / $310.99	Facility		$130.91	$130.91	$310.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.07 / $169.97 / $310.99	Professional		$130.07	$169.97	$310.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.43 / $204.00 / $399.74	Professional		$67.43	$204.00	$399.74
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 $157.10 / $244.29 / $473.79	Professional		$157.10	$244.29	$473.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $227.48 / $330.82 / $441.09	Facility		$227.48	$330.82	$441.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $234.33 / $275.68 / $385.95	Professional		$234.33	$275.68	$385.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.00 / $142.00 / $146.03	Facility		$142.00	$142.00	$146.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $142.00 / $318.00	Professional		$103.66	$142.00	$318.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.52 / $275.68 / $436.00	Professional		$209.52	$275.68	$436.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,261.90 / $1,274.00 / $2,373.69	Facility		$1,261.90	$1,274.00	$2,373.69
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 / $269.22	Professional		$91.69	$137.54	$269.22