Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $511.70 / $511.70 / $511.70	Facility		$511.70	$511.70	$511.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.50 / $496.41 / $641.78	Professional		$387.50	$496.41	$641.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $417.36 / $620.35 / $998.56	Professional		$417.36	$620.35	$998.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $540.85 / $540.85 / $540.85	Facility		$540.85	$540.85	$540.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $456.24 / $456.24 / $456.24	Professional		$456.24	$456.24	$456.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $567.86 / $567.86 / $567.86	Facility		$567.86	$567.86	$567.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.59 / $603.58 / $1,089.42	Professional		$436.59	$603.58	$1,089.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $483.17 / $628.12 / $3,283.50	Professional		$483.17	$628.12	$3,283.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $466.74 / $657.60 / $936.10	Professional		$466.74	$657.60	$936.10
United Facility/Professional Professional Modifier Low / Median / High Price $405.66 / $541.09 / $919.60	Professional		$405.66	$541.09	$919.60