Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.28 / $252.28 / $599.28	Facility		$252.28	$252.28	$599.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.28 / $309.25 / $431.20	Professional		$252.28	$309.25	$431.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $393.12 / $393.12 / $393.12	Professional		$393.12	$393.12	$393.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $531.24 / $743.74 / $1,949.65	Facility		$531.24	$743.74	$1,949.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.22 / $441.72 / $848.10	Professional		$283.22	$441.72	$848.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $426.85 / $478.58 / $982.79	Facility		$426.85	$478.58	$982.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $451.55 / $451.55 / $451.55	Professional		$451.55	$451.55	$451.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.79 / $313.79 / $313.79	Facility		$313.79	$313.79	$313.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.07 / $313.79 / $652.88	Professional		$229.07	$313.79	$652.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $403.74 / $531.24 / $757.86	Professional		$403.74	$531.24	$757.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $903.11 / $921.16 / $1,002.44	Professional		$903.11	$921.16	$1,002.44
United Facility/Professional Professional Modifier Low / Median / High Price $176.69 / $265.02 / $437.25	Professional		$176.69	$265.02	$437.25