Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $575.44 / $1,778.28	Facility		$380.19	$575.44	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $776.25	Professional		$426.58	$549.54	$776.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $831.76 / $1,659.59	Facility		$645.65	$831.76	$1,659.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $645.65 / $1,071.52	Professional		$512.86	$645.65	$1,071.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $831.76 / $870.96	Professional		$776.25	$831.76	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,258.93 / $1,949.84	Facility		$645.65	$1,258.93	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $575.44 / $1,905.46	Professional		$295.12	$575.44	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $831.76 / $5,011.87	Professional		$575.44	$831.76	$5,011.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $794.33 / $1,380.38	Professional		$645.65	$794.33	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $575.44 / $645.65	Facility		$389.05	$575.44	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $389.05 / $891.25	Professional		$269.15	$389.05	$891.25