Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.37 / $246.37 / $585.23	Facility		$246.37	$246.37	$585.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.40 / $311.20 / $495.38	Professional		$237.40	$311.20	$495.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $383.90 / $383.90 / $389.09	Professional		$383.90	$383.90	$389.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $518.78 / $726.29 / $1,903.92	Facility		$518.78	$726.29	$1,903.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.27 / $431.36 / $828.21	Professional		$273.27	$431.36	$828.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $387.20 / $440.96 / $959.74	Facility		$387.20	$440.96	$959.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $440.96 / $440.96 / $440.96	Professional		$440.96	$440.96	$440.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.02 / $297.02 / $297.02	Facility		$297.02	$297.02	$297.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.82 / $297.02 / $565.50	Professional		$216.82	$297.02	$565.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $394.27 / $518.78 / $721.24	Professional		$394.27	$518.78	$721.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $641.38 / $881.93 / $978.95	Professional		$641.38	$881.93	$978.95
United Facility/Professional Professional Modifier Low / Median / High Price $172.54 / $256.75 / $448.89	Professional		$172.54	$256.75	$448.89