Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.17 / $490.98 / $490.98	Facility		$281.17	$490.98	$490.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.83 / $315.31 / $754.54	Professional		$268.83	$315.31	$754.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $573.00 / $1,415.37	Professional		$316.23	$573.00	$1,415.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.63 / $405.16 / $703.20	Professional		$313.63	$405.16	$703.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $389.58 / $389.58 / $389.58	Facility		$389.58	$389.58	$389.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $309.11 / $309.11 / $309.11	Professional		$309.11	$309.11	$309.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.44 / $386.44 / $386.44	Facility		$386.44	$386.44	$386.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.20 / $458.60 / $771.61	Professional		$311.20	$458.60	$771.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $325.57 / $442.72 / $2,684.69	Professional		$325.57	$442.72	$2,684.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $309.29 / $490.12 / $681.30	Professional		$309.29	$490.12	$681.30
United Facility/Professional Professional Modifier Low / Median / High Price $322.12 / $395.05 / $643.62	Professional		$322.12	$395.05	$643.62