Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.80 / $352.36 / $745.96	Facility		$141.80	$352.36	$745.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.88 / $186.59 / $385.21	Professional		$140.88	$186.59	$385.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $340.00 / $447.92	Professional		$302.00	$340.00	$447.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $298.61 / $418.05 / $1,095.90	Facility		$298.61	$418.05	$1,095.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.35 / $248.28 / $476.70	Professional		$159.35	$248.28	$476.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $246.38 / $253.82 / $552.42	Facility		$246.38	$253.82	$552.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $253.82 / $253.82 / $253.82	Professional		$253.82	$253.82	$253.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $175.00 / $175.00	Facility		$175.00	$175.00	$175.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $186.56 / $264.80	Professional		$127.75	$186.56	$264.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $226.94 / $298.61 / $579.00	Professional		$226.94	$298.61	$579.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $369.18 / $380.73 / $563.47	Professional		$369.18	$380.73	$563.47
United Facility/Professional Professional Modifier Low / Median / High Price $99.31 / $148.97 / $245.77	Professional		$99.31	$148.97	$245.77