Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.14 / $833.65 / $2,141.02	Facility		$449.14	$833.65	$2,141.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.14 / $574.09 / $754.56	Professional		$449.14	$574.09	$754.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $448.47 / $733.43 / $2,336.88	Facility		$448.47	$733.43	$2,336.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.62 / $574.09 / $1,229.40	Professional		$202.62	$574.09	$1,229.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $675.40 / $945.56 / $1,452.11	Facility		$675.40	$945.56	$1,452.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $675.40 / $810.48 / $878.02	Professional		$675.40	$810.48	$878.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $422.36 / $1,097.53 / $1,874.25	Facility		$422.36	$1,097.53	$1,874.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.97 / $907.44 / $2,615.40	Professional		$307.97	$907.44	$2,615.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $675.40 / $926.15 / $5,265.35	Professional		$675.40	$926.15	$5,265.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $817.23 / $945.56 / $1,249.49	Professional		$817.23	$945.56	$1,249.49
United Facility/Professional Professional Modifier Low / Median / High Price $283.67 / $389.87 / $1,182.29	Professional		$283.67	$389.87	$1,182.29