Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.44 / $298.44 / $298.44	Facility		$298.44	$298.44	$298.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.03 / $298.37 / $571.53	Professional		$204.03	$298.37	$571.53
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $102.02 / $143.19 / $179.94	Professional	52	$102.02	$143.19	$179.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $274.89 / $371.12 / $510.38	Professional		$274.89	$371.12	$510.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.63 / $338.98 / $557.11	Professional		$226.63	$338.98	$557.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $280.94 / $384.86 / $457.23	Facility		$280.94	$384.86	$457.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $271.57 / $325.88 / $435.20	Professional		$271.57	$325.88	$435.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.08 / $333.08 / $333.08	Facility		$333.08	$333.08	$333.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.14 / $317.36 / $610.32	Professional		$230.14	$317.36	$610.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $285.77 / $342.92 / $720.14	Professional		$285.77	$342.92	$720.14
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $183.19 / $183.19 / $276.86	Professional	52	$183.19	$183.19	$276.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $385.79 / $548.28	Professional		$274.83	$385.79	$548.28
United Facility/Professional Professional Modifier Low / Median / High Price $211.39 / $276.77 / $488.26	Professional		$211.39	$276.77	$488.26