Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.44 / $213.44 / $507.01	Facility		$213.44	$213.44	$507.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.41 / $267.27 / $502.39	Professional		$191.41	$267.27	$502.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $232.08 / $534.00 / $674.18	Professional		$232.08	$534.00	$674.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $449.45 / $629.23 / $1,649.48	Facility		$449.45	$629.23	$1,649.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.17 / $373.71 / $717.52	Professional		$230.17	$373.71	$717.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $322.52 / $382.03 / $831.48	Facility		$322.52	$382.03	$831.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $382.03 / $382.03 / $382.03	Professional		$382.03	$382.03	$382.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.12 / $237.10 / $237.10	Facility		$225.12	$237.10	$237.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.08 / $225.12 / $439.88	Professional		$173.08	$225.12	$439.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $341.58 / $449.45 / $624.96	Professional		$341.58	$449.45	$624.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $406.38 / $555.66 / $831.47	Professional		$406.38	$555.66	$831.47
United Facility/Professional Professional Modifier Low / Median / High Price $149.47 / $224.23 / $369.94	Professional		$149.47	$224.23	$369.94