Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.62 / $291.62 / $692.73	Facility		$291.62	$291.62	$692.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.72 / $302.41 / $419.58	Professional		$244.72	$302.41	$419.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $454.42 / $454.42 / $460.56	Professional		$454.42	$454.42	$460.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.08 / $859.71 / $2,253.67	Facility		$614.08	$859.71	$2,253.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.33 / $510.60 / $980.35	Professional		$302.33	$510.60	$980.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $427.98 / $551.26 / $1,136.05	Facility		$427.98	$551.26	$1,136.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $521.97 / $521.97 / $521.97	Professional		$521.97	$521.97	$521.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.76 / $319.76 / $319.76	Facility		$319.76	$319.76	$319.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.42 / $233.42 / $672.95	Professional		$233.42	$233.42	$672.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $466.70 / $614.08 / $853.27	Professional		$466.70	$614.08	$853.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $759.21 / $767.60 / $782.95	Professional		$759.21	$767.60	$782.95
United Facility/Professional Professional Modifier Low / Median / High Price $204.24 / $298.80 / $505.44	Professional		$204.24	$298.80	$505.44