Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $602.56 / $1,096.48	Facility		$295.12	$602.56	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $407.38	Professional		$213.80	$281.84	$407.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $354.81 / $457.09	Facility		$213.80	$354.81	$457.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $363.08 / $588.84	Professional		$81.28	$363.08	$588.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $426.58 / $436.52	Professional		$389.05	$426.58	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $524.81 / $977.24	Facility		$316.23	$524.81	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $331.13 / $1,047.13	Professional		$147.91	$331.13	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $426.58 / $2,511.89	Professional		$295.12	$426.58	$2,511.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $398.11 / $691.83	Professional		$323.59	$398.11	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $295.12 / $323.59	Facility		$199.53	$295.12	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $446.68	Professional		$134.90	$194.98	$446.68