Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.07 / $391.07 / $769.72	Facility		$383.07	$391.07	$769.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.07 / $391.07 / $463.52	Professional		$383.07	$391.07	$463.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $391.07 / $625.71 / $1,435.23	Facility		$391.07	$625.71	$1,435.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $398.89	Professional		$391.07	$391.07	$398.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $391.07 / $391.07 / $766.50	Facility		$391.07	$391.07	$766.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $391.07	Professional		$391.07	$391.07	$391.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $368.93 / $368.93 / $391.07	Facility		$368.93	$368.93	$391.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $461.17	Professional		$391.07	$391.07	$461.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $312.94 / $399.03 / $925.00	Professional		$312.94	$399.03	$925.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $664.82 / $805.87	Professional		$27.40	$664.82	$805.87
United Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $398.89 / $478.72	Professional		$391.07	$398.89	$478.72