Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.68 / $115.68 / $274.77	Facility		$115.68	$115.68	$274.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.59 / $146.12 / $258.22	Professional		$109.59	$146.12	$258.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $182.70 / $182.70 / $182.70	Professional		$182.70	$182.70	$182.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $243.60 / $341.04 / $894.01	Facility		$243.60	$341.04	$894.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.60 / $202.54 / $388.88	Professional		$131.60	$202.54	$388.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $200.96 / $207.06 / $450.66	Facility		$200.96	$207.06	$450.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $207.06 / $207.06 / $207.06	Professional		$207.06	$207.06	$207.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $135.22 / $135.22	Facility		$135.22	$135.22	$135.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.72 / $144.16 / $215.21	Professional		$98.72	$144.16	$215.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.14 / $243.60 / $342.00	Professional		$185.14	$243.60	$342.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $301.17 / $414.12 / $459.67	Professional		$301.17	$414.12	$459.67
United Facility/Professional Professional Modifier Low / Median / High Price $81.02 / $121.52 / $200.48	Professional		$81.02	$121.52	$200.48