Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $514.58 / $514.58 / $9,802.20	Facility		$514.58	$514.58	$9,802.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.98 / $514.58 / $514.58	Professional		$495.98	$514.58	$514.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $268.42 / $516.65 / $985.10	Facility		$268.42	$516.65	$985.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $516.65 / $557.98 / $588.98	Professional		$516.65	$557.98	$588.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $560.08 / $576.55 / $1,124.32	Facility		$560.08	$576.55	$1,124.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.98 / $526.98 / $526.98	Facility		$526.98	$526.98	$526.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.98 / $526.98 / $526.98	Professional		$526.98	$526.98	$526.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $526.98 / $595.00 / $922.00	Professional		$526.98	$595.00	$922.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $820.52 / $1,148.73 / $1,253.71	Professional		$820.52	$1,148.73	$1,253.71
United Facility/Professional Professional Modifier Low / Median / High Price $516.65 / $516.65 / $619.98	Professional		$516.65	$516.65	$619.98