Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.82 / $261.82 / $621.92	Facility		$261.82	$261.82	$621.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.76 / $314.52 / $497.24	Professional		$257.76	$314.52	$497.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $407.98 / $407.98 / $407.98	Professional		$407.98	$407.98	$407.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $551.32 / $771.85 / $2,023.34	Facility		$551.32	$771.85	$2,023.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.48 / $458.41 / $880.15	Professional		$293.48	$458.41	$880.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $454.92 / $468.62 / $1,019.94	Facility		$454.92	$468.62	$1,019.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $468.62 / $468.62 / $468.62	Professional		$468.62	$468.62	$468.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.89 / $336.03 / $336.03	Facility		$321.89	$336.03	$336.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $654.58	Professional		$245.30	$245.30	$654.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $419.00 / $551.32 / $765.69	Professional		$419.00	$551.32	$765.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $607.15 / $702.94 / $1,040.34	Professional		$607.15	$702.94	$1,040.34
United Facility/Professional Professional Modifier Low / Median / High Price $183.36 / $271.32 / $453.79	Professional		$183.36	$271.32	$453.79