Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.85 / $402.16 / $568.86	Facility		$161.85	$402.16	$568.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.85 / $210.12 / $402.16	Professional		$161.85	$210.12	$402.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $175.98 / $450.00 / $507.86	Professional		$175.98	$450.00	$507.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $340.81 / $477.13 / $1,250.77	Facility		$340.81	$477.13	$1,250.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.69 / $283.38 / $544.09	Professional		$181.69	$283.38	$544.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $289.69 / $360.58 / $630.50	Facility		$289.69	$360.58	$630.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $289.69 / $289.69 / $289.69	Professional		$289.69	$289.69	$289.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.50 / $229.50 / $243.27	Facility		$229.50	$229.50	$243.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.54 / $229.50 / $455.20	Professional		$167.54	$229.50	$455.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $259.02 / $340.81 / $473.09	Professional		$259.02	$340.81	$473.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $391.93 / $434.54 / $738.95	Professional		$391.93	$434.54	$738.95
United Facility/Professional Professional Modifier Low / Median / High Price $113.35 / $170.03 / $280.52	Professional		$113.35	$170.03	$280.52