Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.50 / $248.50 / $514.23	Facility		$248.50	$248.50	$514.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $295.72	Professional		$248.50	$248.50	$295.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $248.50 / $397.60 / $912.00	Facility		$248.50	$397.60	$912.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $253.47	Professional		$248.50	$248.50	$253.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $248.50 / $248.50 / $487.06	Facility		$248.50	$248.50	$487.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $248.50	Professional		$248.50	$248.50	$248.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.43 / $234.43 / $248.50	Facility		$234.43	$234.43	$248.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $293.04	Professional		$248.50	$248.50	$293.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.87 / $291.98 / $531.00	Professional		$200.87	$291.98	$531.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $236.07 / $422.44 / $511.89	Professional		$236.07	$422.44	$511.89
United Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $263.41 / $310.63	Professional		$248.50	$263.41	$310.63