Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.80 / $141.80 / $352.36	Facility		$141.80	$141.80	$352.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.56 / $179.12 / $293.62	Professional		$138.56	$179.12	$293.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $305.00 / $305.00 / $305.00	Professional		$305.00	$305.00	$305.00
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 $155.36 / $248.28 / $476.70	Professional		$155.36	$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 $176.58 / $176.58 / $176.58	Facility		$176.58	$176.58	$176.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.90 / $188.24 / $264.80	Professional		$128.90	$188.24	$264.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $226.94 / $298.61 / $414.76	Professional		$226.94	$298.61	$414.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $507.64 / $517.79 / $563.47	Professional		$507.64	$517.79	$563.47
United Facility/Professional Professional Modifier Low / Median / High Price $99.31 / $148.97 / $248.28	Professional		$99.31	$148.97	$248.28