Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.64 / $886.00 / $1,772.01	Facility		$269.64	$886.00	$1,772.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $330.65 / $640.52	Professional		$239.88	$330.65	$640.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $420.18 / $420.18 / $425.86	Professional		$420.18	$420.18	$425.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $567.80 / $794.93 / $2,083.86	Facility		$567.80	$794.93	$2,083.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $472.12 / $906.47	Professional		$230.00	$472.12	$906.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $468.53 / $482.64 / $1,050.45	Facility		$468.53	$482.64	$1,050.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $482.64 / $482.64 / $482.64	Professional		$482.64	$482.64	$482.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.25 / $315.25 / $315.25	Facility		$315.25	$315.25	$315.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.13 / $315.25 / $654.75	Professional		$230.13	$315.25	$654.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $431.54 / $567.80 / $789.12	Professional		$431.54	$567.80	$789.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $965.28 / $984.59 / $1,071.46	Professional		$965.28	$984.59	$1,071.46
United Facility/Professional Professional Modifier Low / Median / High Price $188.85 / $283.27 / $467.35	Professional		$188.85	$283.27	$467.35