Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.88 / $199.88 / $474.79	Facility		$199.88	$199.88	$474.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.88 / $263.00 / $496.64	Professional		$199.88	$263.00	$496.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $217.33 / $217.33 / $781.41	Professional		$217.33	$217.33	$781.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $420.88 / $589.23 / $1,544.63	Facility		$420.88	$589.23	$1,544.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.97 / $349.96 / $671.92	Professional		$230.97	$349.96	$671.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $357.75 / $462.04 / $778.63	Facility		$357.75	$462.04	$778.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $357.75 / $357.75 / $357.75	Professional		$357.75	$357.75	$357.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.73 / $315.73 / $350.29	Facility		$315.73	$315.73	$350.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.48 / $315.73 / $557.79	Professional		$230.48	$315.73	$557.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $319.87 / $420.88 / $613.98	Professional		$319.87	$420.88	$613.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $273.57 / $715.50 / $794.21	Professional		$273.57	$715.50	$794.21
United Facility/Professional Facility Modifier Low / Median / High Price $243.26 / $243.26 / $243.26	Facility		$243.26	$243.26	$243.26
United Facility/Professional Professional Modifier Low / Median / High Price $139.97 / $209.98 / $346.44	Professional		$139.97	$209.98	$346.44