Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.56 / $348.61 / $698.26	Facility		$96.56	$348.61	$698.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.03 / $115.87 / $229.37	Professional		$95.03	$115.87	$229.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.50 / $105.00 / $150.47	Professional		$91.50	$105.00	$150.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.34 / $284.68 / $746.26	Facility		$203.34	$284.68	$746.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.10 / $169.07 / $324.61	Professional		$107.10	$169.07	$324.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $167.71 / $172.84 / $376.18	Facility		$167.71	$172.84	$376.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $172.84 / $172.84 / $172.84	Professional		$172.84	$172.84	$172.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.67 / $112.67 / $112.67	Facility		$112.67	$112.67	$112.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $112.67 / $214.26	Professional		$82.25	$112.67	$214.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.54 / $203.34 / $311.93	Professional		$154.54	$203.34	$311.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $345.68 / $352.60 / $383.71	Professional		$345.68	$352.60	$383.71
United Facility/Professional Professional Modifier Low / Median / High Price $67.63 / $101.44 / $167.35	Professional		$67.63	$101.44	$167.35