Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.48 / $420.63 / $561.74	Facility		$236.48	$420.63	$561.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.81 / $265.79 / $440.41	Professional		$232.81	$265.79	$440.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $299.00 / $368.50 / $368.50	Professional		$299.00	$368.50	$368.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $497.97 / $697.16 / $1,827.55	Facility		$497.97	$697.16	$1,827.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.48 / $414.05 / $794.98	Professional		$265.48	$414.05	$794.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $410.90 / $423.27 / $921.24	Facility		$410.90	$423.27	$921.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $423.27 / $423.27 / $423.27	Professional		$423.27	$423.27	$423.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.81 / $312.81 / $312.81	Facility		$312.81	$312.81	$312.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.35 / $228.35 / $574.13	Professional		$228.35	$228.35	$574.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $378.46 / $497.97 / $691.60	Professional		$378.46	$497.97	$691.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $846.55 / $863.48 / $939.67	Professional		$846.55	$863.48	$939.67
United Facility/Professional Professional Modifier Low / Median / High Price $165.62 / $248.43 / $409.86	Professional		$165.62	$248.43	$409.86