Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.87 / $896.73 / $1,213.81	Facility		$449.87	$896.73	$1,213.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.26 / $575.03 / $755.78	Professional		$114.26	$575.03	$755.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $282.88 / $734.63 / $2,340.69	Facility		$282.88	$734.63	$2,340.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.15 / $282.88 / $828.03	Professional		$113.15	$282.88	$828.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $676.50 / $947.10 / $1,454.48	Facility		$676.50	$947.10	$1,454.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $676.50 / $811.80 / $879.45	Professional		$676.50	$811.80	$879.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $674.34 / $1,099.33 / $2,085.65	Facility		$674.34	$1,099.33	$2,085.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.10 / $1,109.46 / $3,808.13	Professional		$308.10	$1,109.46	$3,808.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $608.85 / $879.45 / $5,273.47	Professional		$608.85	$879.45	$5,273.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $818.57 / $947.10 / $1,251.53	Professional		$818.57	$947.10	$1,251.53
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $169.73 / $1,229.27	Professional		$118.81	$169.73	$1,229.27