Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.09 / $256.08 / $492.31	Facility		$255.09	$256.08	$492.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.09 / $256.08 / $307.30	Professional		$255.09	$256.08	$307.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $256.08 / $409.74 / $939.85	Facility		$256.08	$409.74	$939.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $261.20	Professional		$256.08	$256.08	$261.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $256.08 / $256.08 / $501.94	Facility		$256.08	$256.08	$501.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $256.08	Professional		$256.08	$256.08	$256.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.59 / $241.59 / $256.08	Facility		$241.59	$241.59	$256.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $301.99	Professional		$256.08	$256.08	$301.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.42 / $298.08 / $467.36	Professional		$195.42	$298.08	$467.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $243.28 / $435.35 / $527.52	Professional		$243.28	$435.35	$527.52
United Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $307.31	Professional		$256.08	$256.08	$307.31