Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.96 / $474.99 / $649.40	Facility		$199.96	$474.99	$649.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.96 / $252.58 / $474.99	Professional		$199.96	$252.58	$474.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $217.43 / $217.43 / $217.43	Professional		$217.43	$217.43	$217.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $421.06 / $589.48 / $1,545.29	Facility		$421.06	$589.48	$1,545.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.49 / $350.10 / $672.19	Professional		$224.49	$350.10	$672.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $349.82 / $366.13 / $778.96	Facility		$349.82	$366.13	$778.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $357.90 / $357.90 / $357.90	Professional		$357.90	$357.90	$357.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.02 / $264.44 / $264.44	Facility		$261.02	$264.44	$264.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.04 / $261.02 / $499.50	Professional		$193.04	$261.02	$499.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $320.01 / $421.06 / $584.61	Professional		$320.01	$421.06	$584.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $430.74 / $520.57 / $780.67	Professional		$430.74	$520.57	$780.67
United Facility/Professional Professional Modifier Low / Median / High Price $140.04 / $210.06 / $346.58	Professional		$140.04	$210.06	$346.58