Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.72 / $429.28 / $1,270.61	Facility		$180.72	$429.28	$1,270.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.55 / $237.79 / $700.00	Professional		$179.55	$237.79	$700.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.61 / $281.61 / $281.61	Professional		$281.61	$281.61	$281.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.55 / $532.77 / $1,396.62	Facility		$380.55	$532.77	$1,396.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.11 / $316.42 / $607.53	Professional		$191.11	$316.42	$607.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $314.00 / $456.66 / $608.88	Facility		$314.00	$456.66	$608.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $323.47 / $380.55 / $532.77	Professional		$323.47	$380.55	$532.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.27 / $211.27 / $211.27	Facility		$211.27	$211.27	$211.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $165.48 / $401.73	Professional		$154.22	$165.48	$401.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $289.22 / $380.55 / $528.27	Professional		$289.22	$380.55	$528.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $646.92 / $659.87 / $718.10	Professional		$646.92	$659.87	$718.10
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $189.85 / $313.20	Professional		$126.57	$189.85	$313.20