Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.07 / $210.07 / $499.02	Facility		$210.07	$210.07	$499.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.07 / $265.36 / $353.19	Professional		$210.07	$265.36	$353.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.27 / $327.35 / $327.35	Professional		$316.27	$327.35	$327.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $442.37 / $619.32 / $1,623.50	Facility		$442.37	$619.32	$1,623.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.84 / $367.82 / $706.21	Professional		$235.84	$367.82	$706.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $376.01 / $412.44 / $818.38	Facility		$376.01	$412.44	$818.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $376.01 / $376.01 / $376.01	Professional		$376.01	$376.01	$376.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.03 / $345.03 / $345.03	Facility		$345.03	$345.03	$345.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $280.02 / $513.00	Professional		$251.87	$280.02	$513.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $336.20 / $442.37 / $667.80	Professional		$336.20	$442.37	$667.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $546.91 / $552.96 / $564.01	Professional		$546.91	$552.96	$564.01
United Facility/Professional Professional Modifier Low / Median / High Price $147.13 / $220.69 / $364.10	Professional		$147.13	$220.69	$364.10