Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.83 / $392.63 / $571.58	Facility		$388.83	$392.63	$571.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.83 / $392.63 / $466.82	Professional		$388.83	$392.63	$466.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $392.63 / $628.21 / $1,440.95	Facility		$392.63	$628.21	$1,440.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $400.48	Professional		$392.63	$392.63	$400.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $392.63 / $392.63 / $769.55	Facility		$392.63	$392.63	$769.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $392.63	Professional		$392.63	$392.63	$392.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.40 / $370.40 / $392.63	Facility		$370.40	$370.40	$392.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $463.01	Professional		$392.63	$392.63	$463.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.52 / $411.15 / $961.00	Professional		$295.52	$411.15	$961.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $294.10 / $541.83 / $787.83	Professional		$294.10	$541.83	$787.83
United Facility/Professional Facility Modifier Low / Median / High Price $392.63 / $392.63 / $392.63	Facility		$392.63	$392.63	$392.63
United Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $490.79	Professional		$392.63	$392.63	$490.79