Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.38 / $421.20 / $808.18	Facility		$160.38	$421.20	$808.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.12 / $243.85 / $520.44	Professional		$155.12	$243.85	$520.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $180.23 / $271.22 / $335.69	Professional		$180.23	$271.22	$335.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $408.80 / $617.85 / $1,021.02	Facility		$408.80	$617.85	$1,021.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.95 / $230.43 / $485.45	Professional		$169.95	$230.43	$485.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $216.97 / $253.13 / $302.14	Facility		$216.97	$253.13	$302.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $186.86 / $186.86 / $420.01	Professional		$186.86	$186.86	$420.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.52 / $283.26 / $396.56	Facility		$167.52	$283.26	$396.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.63 / $317.66 / $591.07	Professional		$178.63	$317.66	$591.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.72 / $331.15 / $478.53	Professional		$207.72	$331.15	$478.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $240.41 / $307.38 / $407.13	Professional		$240.41	$307.38	$407.13
United Facility/Professional Professional Modifier Low / Median / High Price $163.38 / $230.82 / $430.27	Professional		$163.38	$230.82	$430.27