Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.87 / $1,215.90 / $3,411.79	Facility		$174.87	$1,215.90	$3,411.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.87 / $227.02 / $475.02	Professional		$174.87	$227.02	$475.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $385.00 / $459.00 / $552.35	Professional		$385.00	$459.00	$552.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $368.23 / $515.52 / $1,351.40	Facility		$368.23	$515.52	$1,351.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.77 / $306.18 / $587.87	Professional		$213.77	$306.18	$587.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $313.00 / $441.88 / $681.23	Facility		$313.00	$441.88	$681.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $313.00 / $313.00 / $313.00	Professional		$313.00	$313.00	$313.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.36 / $233.36 / $233.36	Facility		$233.36	$233.36	$233.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.35 / $247.25 / $340.55	Professional		$170.35	$247.25	$340.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $279.85 / $368.23 / $680.00	Professional		$279.85	$368.23	$680.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $382.44 / $455.25 / $711.20	Professional		$382.44	$455.25	$711.20
United Facility/Professional Professional Modifier Low / Median / High Price $122.47 / $182.12 / $409.84	Professional		$122.47	$182.12	$409.84