Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $398.11	Professional		$245.47	$323.59	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $354.81 / $416.87	Professional		$288.40	$354.81	$416.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $380.19 / $489.78	Professional		$323.59	$380.19	$489.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $524.81 / $691.83	Facility		$389.05	$524.81	$691.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $630.96	Professional		$398.11	$478.63	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $478.63	Professional		$380.19	$380.19	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $446.68 / $724.44	Professional		$346.74	$446.68	$724.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $851.14	Professional		$371.54	$562.34	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $380.19 / $436.52	Facility		$302.00	$380.19	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $676.08	Professional		$281.84	$389.05	$676.08