Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.21 / $216.66 / $336.85	Facility		$91.21	$216.66	$336.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.79 / $115.21 / $284.94	Professional		$89.79	$115.21	$284.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.18 / $142.12 / $190.00	Professional		$99.18	$142.12	$190.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.05 / $268.87 / $704.82	Facility		$192.05	$268.87	$704.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.24 / $159.69 / $306.60	Professional		$102.24	$159.69	$306.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.47 / $163.24 / $355.29	Facility		$158.47	$163.24	$355.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $163.24 / $163.24 / $163.24	Professional		$163.24	$163.24	$163.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.63 / $106.63 / $121.71	Facility		$106.63	$106.63	$121.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $106.63 / $202.78	Professional		$77.84	$106.63	$202.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.96 / $192.05 / $266.77	Professional		$145.96	$192.05	$266.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $190.11 / $240.06 / $355.29	Professional		$190.11	$240.06	$355.29
United Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $94.52 / $158.09	Professional		$63.88	$94.52	$158.09