Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.62 / $356.93 / $692.71	Facility		$348.62	$356.93	$692.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.62 / $356.93 / $421.83	Professional		$348.62	$356.93	$421.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $356.93 / $571.09 / $1,309.93	Facility		$356.93	$571.09	$1,309.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $356.93 / $364.06	Professional		$356.93	$356.93	$364.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $356.93 / $356.93 / $699.58	Facility		$356.93	$356.93	$699.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $356.93 / $356.93	Professional		$356.93	$356.93	$356.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.73 / $336.73 / $356.93	Facility		$336.73	$336.73	$356.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $356.93 / $420.91	Professional		$356.93	$356.93	$420.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.39 / $389.72 / $704.00	Professional		$260.39	$389.72	$704.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $339.08 / $606.78 / $735.24	Professional		$339.08	$606.78	$735.24
United Facility/Professional Professional Modifier Low / Median / High Price $338.89 / $362.57 / $456.87	Professional		$338.89	$362.57	$456.87