Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.69 / $275.69 / $654.85	Facility		$275.69	$275.69	$654.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.18 / $310.14 / $430.53	Professional		$261.18	$310.14	$430.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $580.54 / $812.77 / $2,130.62	Facility		$580.54	$812.77	$2,130.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $482.70 / $926.78	Professional		$302.39	$482.70	$926.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $478.44 / $493.47 / $1,074.02	Facility		$478.44	$493.47	$1,074.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $493.47 / $493.47 / $493.47	Professional		$493.47	$493.47	$493.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.46 / $347.46 / $347.46	Facility		$347.46	$347.46	$347.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.65 / $347.46 / $664.13	Professional		$253.65	$347.46	$664.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $441.22 / $580.54 / $806.83	Professional		$441.22	$580.54	$806.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $717.75 / $986.93 / $1,095.50	Professional		$717.75	$986.93	$1,095.50
United Facility/Professional Professional Modifier Low / Median / High Price $193.08 / $286.02 / $477.80	Professional		$193.08	$286.02	$477.80