Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.52 / $422.89 / $601.99	Facility		$409.52	$422.89	$601.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.52 / $422.89 / $495.52	Professional		$409.52	$422.89	$495.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $422.89 / $676.62 / $1,552.01	Facility		$422.89	$676.62	$1,552.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $431.34	Professional		$422.89	$422.89	$431.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $422.89 / $422.89 / $828.86	Facility		$422.89	$422.89	$828.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $422.89	Professional		$422.89	$422.89	$422.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.96 / $398.96 / $422.89	Facility		$398.96	$398.96	$422.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $538.59	Professional		$422.89	$422.89	$538.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $246.92 / $519.83 / $1,742.00	Professional		$246.92	$519.83	$1,742.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $401.75 / $676.63 / $871.44	Professional		$401.75	$676.63	$871.44
United Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $445.94 / $562.91	Professional		$422.89	$445.94	$562.91