Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.24 / $467.71 / $1,048.07	Facility		$333.24	$467.71	$1,048.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.24 / $432.63 / $856.44	Professional		$333.24	$432.63	$856.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $471.57 / $727.46 / $1,129.00	Professional		$471.57	$727.46	$1,129.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $541.67 / $758.35 / $1,987.97	Facility		$541.67	$758.35	$1,987.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.88 / $735.65 / $1,222.74	Professional		$453.88	$735.65	$1,222.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $433.34 / $727.46 / $1,091.19	Facility		$433.34	$727.46	$1,091.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $460.43 / $541.67 / $758.35	Professional		$460.43	$541.67	$758.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $465.67 / $465.67 / $489.93	Facility		$465.67	$465.67	$489.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.94 / $465.67 / $578.07	Professional		$339.94	$465.67	$578.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $411.68 / $541.67 / $1,092.00	Professional		$411.68	$541.67	$1,092.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $496.23 / $694.20 / $1,002.11	Professional		$496.23	$694.20	$1,002.11
United Facility/Professional Professional Modifier Low / Median / High Price $303.74 / $455.60 / $662.47	Professional		$303.74	$455.60	$662.47