Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $380.19 / $575.44	Facility		$42.66	$380.19	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $602.56	Professional		$213.80	$309.03	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $416.87 / $707.95	Professional		$239.88	$416.87	$707.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,122.02 / $1,737.80	Facility		$478.63	$1,122.02	$1,737.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $389.05 / $588.84	Professional		$251.19	$389.05	$588.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $776.25	Facility		$295.12	$295.12	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $562.34	Professional		$213.80	$213.80	$562.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $478.63 / $645.65	Professional		$323.59	$478.63	$645.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $616.60 / $645.65	Professional		$549.54	$616.60	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $213.80 / $295.12	Facility		$138.04	$213.80	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $457.09	Professional		$154.88	$229.09	$457.09