Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.89 / $300.89 / $714.73	Facility		$300.89	$300.89	$714.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.68 / $335.18 / $450.21	Professional		$278.68	$335.18	$450.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $633.59 / $887.03 / $2,325.28	Facility		$633.59	$887.03	$2,325.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.30 / $526.82 / $1,011.49	Professional		$333.30	$526.82	$1,011.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $474.36 / $544.94 / $1,172.14	Facility		$474.36	$544.94	$1,172.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $538.54 / $538.54 / $538.54	Professional		$538.54	$538.54	$538.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.04 / $419.04 / $419.04	Facility		$419.04	$419.04	$419.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.89 / $405.80 / $743.25	Professional		$305.89	$405.80	$743.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $481.53 / $633.59 / $880.07	Professional		$481.53	$633.59	$880.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $411.83 / $1,077.09 / $1,195.58	Professional		$411.83	$1,077.09	$1,195.58
United Facility/Professional Professional Modifier Low / Median / High Price $210.73 / $316.08 / $521.49	Professional		$210.73	$316.08	$521.49