Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.17 / $188.17 / $561.74	Facility		$188.17	$188.17	$561.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.27 / $237.69 / $466.41	Professional		$178.27	$237.69	$466.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.13 / $404.45 / $690.00	Professional		$257.13	$404.45	$690.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $310.94 / $435.32 / $1,141.15	Facility		$310.94	$435.32	$1,141.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.83 / $401.13 / $689.38	Professional		$279.83	$401.13	$689.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $224.36 / $310.94 / $606.67	Facility		$224.36	$310.94	$606.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $264.30 / $264.30 / $264.30	Professional		$264.30	$264.30	$264.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.51 / $301.51 / $301.51	Facility		$301.51	$301.51	$301.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.10 / $220.10 / $353.25	Professional		$220.10	$220.10	$353.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.72 / $310.94 / $697.00	Professional		$212.72	$310.94	$697.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $528.60 / $542.86 / $590.76	Professional		$528.60	$542.86	$590.76
United Facility/Professional Professional Modifier Low / Median / High Price $165.62 / $248.43 / $389.74	Professional		$165.62	$248.43	$389.74