Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.66 / $476.82 / $929.95	Facility		$344.66	$476.82	$929.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.66 / $440.54 / $579.03	Professional		$344.66	$440.54	$579.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $456.09 / $662.14 / $1,793.25	Facility		$456.09	$662.14	$1,793.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $518.28 / $855.16	Professional		$207.31	$518.28	$855.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $518.28 / $725.59 / $1,114.30	Facility		$518.28	$725.59	$1,114.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $518.28 / $621.94 / $673.76	Professional		$518.28	$621.94	$673.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $516.64 / $842.20 / $1,597.68	Facility		$516.64	$842.20	$1,597.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.93 / $460.61 / $1,549.91	Professional		$245.93	$460.61	$1,549.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $518.28 / $710.42 / $4,038.79	Professional		$518.28	$710.42	$4,038.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $627.12 / $725.59 / $958.82	Professional		$627.12	$725.59	$958.82
United Facility/Professional Professional Modifier Low / Median / High Price $217.68 / $310.97 / $941.77	Professional		$217.68	$310.97	$941.77