Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.40 / $656.44 / $1,613.12	Facility		$338.40	$656.44	$1,613.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.40 / $488.52 / $599.28	Professional		$338.40	$488.52	$599.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.89 / $552.59 / $1,760.69	Facility		$337.89	$552.59	$1,760.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.55 / $203.55 / $814.90	Professional		$203.55	$203.55	$814.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $508.87 / $712.42 / $1,094.07	Facility		$508.87	$712.42	$1,094.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $508.87 / $610.64 / $661.53	Professional		$508.87	$610.64	$661.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.08 / $896.83 / $1,569.47	Facility		$333.08	$896.83	$1,569.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.33 / $440.76 / $1,521.85	Professional		$235.33	$440.76	$1,521.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $508.87 / $697.81 / $3,965.29	Professional		$508.87	$697.81	$3,965.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $615.73 / $712.42 / $941.41	Professional		$615.73	$712.42	$941.41
United Facility/Professional Facility Modifier Low / Median / High Price $457.98 / $457.98 / $457.98	Facility		$457.98	$457.98	$457.98
United Facility/Professional Professional Modifier Low / Median / High Price $213.73 / $305.32 / $890.78	Professional		$213.73	$305.32	$890.78