Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.86 / $582.54 / $1,429.38	Facility		$299.86	$582.54	$1,429.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.86 / $351.71 / $503.77	Professional		$299.86	$351.71	$503.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $299.39 / $489.65 / $1,560.15	Facility		$299.39	$489.65	$1,560.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.27 / $361.27 / $858.02	Professional		$135.27	$361.27	$858.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $450.91 / $631.27 / $969.46	Facility		$450.91	$631.27	$969.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $450.91 / $541.09 / $586.17	Professional		$450.91	$541.09	$586.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.14 / $732.73 / $1,251.72	Facility		$295.14	$732.73	$1,251.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.59 / $605.74 / $1,745.72	Professional		$205.59	$605.74	$1,745.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $450.91 / $618.58 / $3,513.88	Professional		$450.91	$618.58	$3,513.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $545.60 / $631.27 / $834.18	Professional		$545.60	$631.27	$834.18
United Facility/Professional Professional Modifier Low / Median / High Price $189.38 / $270.55 / $789.32	Professional		$189.38	$270.55	$789.32