Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.70 / $282.26 / $379.50	Facility		$111.70	$282.26	$379.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.98 / $148.94 / $349.33	Professional		$110.98	$148.94	$349.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $176.42 / $240.00 / $352.83	Professional		$176.42	$240.00	$352.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $235.22 / $329.31 / $863.26	Facility		$235.22	$329.31	$863.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.11 / $195.59 / $375.53	Professional		$127.11	$195.59	$375.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $194.07 / $199.94 / $435.16	Facility		$194.07	$199.94	$435.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $199.94 / $199.94 / $199.94	Professional		$199.94	$199.94	$199.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.59 / $130.59 / $130.59	Facility		$130.59	$130.59	$130.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $139.21 / $212.19	Professional		$95.33	$139.21	$212.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.77 / $235.22 / $457.00	Professional		$178.77	$235.22	$457.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $290.81 / $399.87 / $443.85	Professional		$290.81	$399.87	$443.85
United Facility/Professional Professional Modifier Low / Median / High Price $78.23 / $117.35 / $193.63	Professional		$78.23	$117.35	$193.63