Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.82 / $261.82 / $650.55	Facility		$261.82	$261.82	$650.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.81 / $339.90 / $482.76	Professional		$261.81	$339.90	$482.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.27 / $257.27 / $1,050.00	Professional		$257.27	$257.27	$1,050.00
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 $301.51 / $488.52 / $1,039.10	Professional		$301.51	$488.52	$1,039.10
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 $375.73 / $375.73 / $383.66	Facility		$375.73	$375.73	$383.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.27 / $274.27 / $635.63	Professional		$274.27	$274.27	$635.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $419.00 / $551.32 / $765.61	Professional		$419.00	$551.32	$765.61
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 / $275.05 / $477.04	Professional		$183.36	$275.05	$477.04