Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.74 / $216.90 / $483.79	Facility		$216.74	$216.90	$483.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.74 / $216.90 / $249.90	Professional		$216.74	$216.90	$249.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.90 / $347.04 / $796.02	Facility		$216.90	$347.04	$796.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $221.23	Professional		$216.90	$216.90	$221.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $216.90 / $216.90 / $425.12	Facility		$216.90	$216.90	$425.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $216.90	Professional		$216.90	$216.90	$216.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.63 / $204.63 / $216.90	Facility		$204.63	$204.63	$216.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $254.90	Professional		$216.90	$216.90	$254.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.12 / $275.76 / $600.00	Professional		$212.12	$275.76	$600.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $206.06 / $368.74 / $446.79	Professional		$206.06	$368.74	$446.79
United Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $228.72 / $264.62	Professional		$216.90	$228.72	$264.62