Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.88 / $219.88 / $522.32	Facility		$219.88	$219.88	$522.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.31 / $252.80 / $363.18	Professional		$208.31	$252.80	$363.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $463.01 / $648.21 / $1,699.25	Facility		$463.01	$648.21	$1,699.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.85 / $384.99 / $739.18	Professional		$246.85	$384.99	$739.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $361.13 / $393.56 / $856.57	Facility		$361.13	$393.56	$856.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $393.56 / $393.56 / $393.56	Professional		$393.56	$393.56	$393.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.70 / $295.70 / $295.70	Facility		$295.70	$295.70	$295.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.87 / $289.36 / $529.88	Professional		$215.87	$289.36	$529.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $351.89 / $463.01 / $645.83	Professional		$351.89	$463.01	$645.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $572.42 / $787.12 / $873.70	Professional		$572.42	$787.12	$873.70
United Facility/Professional Facility Modifier Low / Median / High Price $129.43 / $208.12 / $233.13	Facility		$129.43	$208.12	$233.13
United Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $230.99 / $381.10	Professional		$154.00	$230.99	$381.10