Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.42 / $318.52 / $721.61	Facility		$317.42	$318.52	$721.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.42 / $318.52 / $382.24	Professional		$317.42	$318.52	$382.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $318.52 / $509.65 / $1,169.01	Facility		$318.52	$509.65	$1,169.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $324.89	Professional		$318.52	$318.52	$324.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $318.52 / $318.52 / $624.32	Facility		$318.52	$318.52	$624.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $318.52	Professional		$318.52	$318.52	$318.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.50 / $300.50 / $318.52	Facility		$300.50	$300.50	$318.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $375.63	Professional		$318.52	$318.52	$375.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $311.36 / $404.77 / $650.77	Professional		$311.36	$404.77	$650.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $323.89 / $541.50 / $656.39	Professional		$323.89	$541.50	$656.39
United Facility/Professional Professional Modifier Low / Median / High Price $313.00 / $331.78 / $400.64	Professional		$313.00	$331.78	$400.64