Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.47 / $308.47 / $823.60	Facility		$308.47	$308.47	$823.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.32 / $308.47 / $354.74	Professional		$297.32	$308.47	$354.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $321.72 / $523.76 / $1,180.71	Facility		$321.72	$523.76	$1,180.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.89 / $321.72 / $353.07	Professional		$315.89	$321.72	$353.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $111.96 / $111.96 / $369.98	Facility		$111.96	$111.96	$369.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.96 / $111.96 / $111.96	Professional		$111.96	$111.96	$111.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.15 / $321.72 / $321.72	Facility		$146.15	$321.72	$321.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.72 / $321.72 / $379.39	Professional		$321.72	$321.72	$379.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $193.73 / $315.89	Professional		$140.99	$193.73	$315.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $254.20 / $306.20	Professional		$27.40	$254.20	$306.20
United Facility/Professional Professional Modifier Low / Median / High Price $309.70 / $328.29 / $396.43	Professional		$309.70	$328.29	$396.43