Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.30 / $641.85 / $2,034.66	Facility		$371.30	$641.85	$2,034.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.64 / $426.83 / $738.13	Professional		$225.64	$426.83	$738.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $287.83 / $697.00 / $2,220.80	Facility		$287.83	$697.00	$2,220.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.55 / $316.61 / $962.78	Professional		$192.55	$316.61	$962.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $641.85 / $898.59 / $1,379.98	Facility		$641.85	$898.59	$1,379.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $641.85 / $770.22 / $834.41	Professional		$641.85	$770.22	$834.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.12 / $1,009.63 / $1,781.17	Facility		$188.12	$1,009.63	$1,781.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.78 / $582.78 / $2,484.82	Professional		$144.78	$582.78	$2,484.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $641.85 / $880.69 / $5,001.52	Professional		$641.85	$880.69	$5,001.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $776.64 / $898.59 / $1,187.42	Professional		$776.64	$898.59	$1,187.42
United Facility/Professional Professional Modifier Low / Median / High Price $143.91 / $287.83 / $1,166.31	Professional		$143.91	$287.83	$1,166.31