Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.40 / $541.01 / $955.28	Facility		$200.40	$541.01	$955.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.50 / $261.27 / $485.17	Professional		$87.50	$261.27	$485.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $196.25 / $332.99 / $1,042.67	Facility		$196.25	$332.99	$1,042.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $120.54 / $591.25	Professional		$87.56	$120.54	$591.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $301.35 / $421.89 / $647.90	Facility		$301.35	$421.89	$647.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $361.62 / $391.76	Professional		$301.35	$361.62	$391.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.92 / $481.95 / $836.04	Facility		$211.92	$481.95	$836.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $460.14 / $1,696.62	Professional		$137.38	$460.14	$1,696.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $271.22 / $391.76 / $2,349.79	Professional		$271.22	$391.76	$2,349.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,774.05 / $1,774.05 / $1,774.05	Facility		$1,774.05	$1,774.05	$1,774.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $364.63 / $421.89 / $557.50	Professional		$364.63	$421.89	$557.50
United Facility/Professional Facility Modifier Low / Median / High Price $271.22 / $271.22 / $271.22	Facility		$271.22	$271.22	$271.22
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $180.81 / $527.51	Professional		$126.57	$180.81	$527.51