Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.83 / $708.40 / $1,912.16	Facility		$230.83	$708.40	$1,912.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.63 / $209.84 / $230.83	Professional		$166.63	$209.84	$230.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.33 / $550.00 / $1,021.02	Facility		$240.33	$550.00	$1,021.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.57 / $257.52 / $567.04	Professional		$142.57	$257.52	$567.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $229.49 / $267.74 / $302.16	Facility		$229.49	$267.74	$302.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $209.20 / $209.20 / $433.20	Professional		$209.20	$209.20	$433.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.96 / $443.38 / $604.24	Facility		$194.96	$443.38	$604.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.31 / $417.79 / $694.98	Professional		$180.31	$417.79	$694.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.71 / $236.66 / $535.02	Professional		$209.71	$236.66	$535.02
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $515.41 / $926.01 / $1,112.33	Facility		$515.41	$926.01	$1,112.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $310.80 / $519.74 / $834.52	Professional		$310.80	$519.74	$834.52
United Facility/Professional Professional Modifier Low / Median / High Price $164.39 / $290.19 / $561.14	Professional		$164.39	$290.19	$561.14