Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.56 / $96.56 / $229.37	Facility		$96.56	$96.56	$229.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.56 / $124.19 / $274.83	Professional		$96.56	$124.19	$274.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $150.47 / $320.89	Professional		$105.00	$150.47	$320.89
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 $115.83 / $180.17 / $349.45	Professional		$115.83	$180.17	$349.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $167.71 / $244.01 / $325.33	Facility		$167.71	$244.01	$325.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $172.84 / $203.34 / $284.68	Professional		$172.84	$203.34	$284.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.02 / $127.07 / $127.07	Facility		$106.02	$127.07	$127.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $92.76 / $241.04	Professional		$92.76	$92.76	$241.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.54 / $203.34 / $406.00	Professional		$154.54	$203.34	$406.00
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 / $183.01	Professional		$67.63	$101.44	$183.01