Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.92 / $328.34 / $3,654.84	Facility		$302.92	$328.34	$3,654.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.92 / $328.34 / $394.01	Professional		$302.92	$328.34	$394.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $328.34 / $525.34 / $1,205.01	Facility		$328.34	$525.34	$1,205.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $334.90	Professional		$328.34	$328.34	$334.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $328.34 / $328.34 / $643.54	Facility		$328.34	$328.34	$643.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $328.34	Professional		$328.34	$328.34	$328.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.75 / $309.75 / $328.34	Facility		$309.75	$309.75	$328.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $418.17	Professional		$328.34	$328.34	$418.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $324.80 / $714.73 / $1,628.60	Professional		$324.80	$714.73	$1,628.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $307.99 / $558.16 / $1,120.50	Professional		$307.99	$558.16	$1,120.50
United Facility/Professional Facility Modifier Low / Median / High Price $563.16 / $563.16 / $563.16	Facility		$563.16	$563.16	$563.16
United Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $334.91 / $437.05	Professional		$328.34	$334.91	$437.05