Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.79 / $509.60 / $1,104.94	Facility		$231.79	$509.60	$1,104.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.79 / $303.25 / $389.41	Professional		$231.79	$303.25	$389.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $237.36 / $395.04 / $1,206.02	Facility		$237.36	$395.04	$1,206.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.24 / $313.70 / $683.87	Professional		$107.24	$313.70	$683.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $348.56 / $487.98 / $749.40	Facility		$348.56	$487.98	$749.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $348.56 / $418.27 / $453.13	Professional		$348.56	$418.27	$453.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $258.18 / $566.40 / $967.68	Facility		$258.18	$566.40	$967.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.73 / $468.13 / $1,348.90	Professional		$173.73	$468.13	$1,348.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $348.56 / $478.17 / $2,716.94	Professional		$348.56	$478.17	$2,716.94
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $575.12 / $575.12 / $575.12	Facility		$575.12	$575.12	$575.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $421.76 / $487.98 / $644.84	Professional		$421.76	$487.98	$644.84
United Facility/Professional Facility Modifier Low / Median / High Price $313.70 / $313.70 / $313.70	Facility		$313.70	$313.70	$313.70
United Facility/Professional Professional Modifier Low / Median / High Price $146.40 / $209.14 / $610.15	Professional		$146.40	$209.14	$610.15