Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $512.86 / $1,096.48	Facility		$218.78	$512.86	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $398.11	Professional		$218.78	$281.84	$398.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $363.08 / $457.09	Facility		$213.80	$363.08	$457.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $331.13 / $575.44	Professional		$131.83	$331.13	$575.44
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 $398.11 / $426.58 / $446.68	Professional		$398.11	$426.58	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $645.65 / $1,000.00	Facility		$331.13	$645.65	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $288.40 / $977.24	Professional		$151.36	$288.40	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $426.58 / $2,570.40	Professional		$295.12	$426.58	$2,570.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $707.95	Professional		$331.13	$407.38	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $295.12 / $331.13	Facility		$199.53	$295.12	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $457.09	Professional		$138.04	$199.53	$457.09