Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.48 / $392.48 / $932.33	Facility		$392.48	$392.48	$932.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.44 / $433.12 / $550.86	Professional		$364.44	$433.12	$550.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $826.47 / $1,157.06 / $3,033.14	Facility		$826.47	$1,157.06	$3,033.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $434.78 / $687.20 / $1,319.42	Professional		$434.78	$687.20	$1,319.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $610.52 / $702.50 / $1,528.97	Facility		$610.52	$702.50	$1,528.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $702.50 / $702.50 / $702.50	Professional		$702.50	$702.50	$702.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.80 / $512.80 / $512.80	Facility		$512.80	$512.80	$512.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.35 / $501.79 / $919.13	Professional		$374.35	$501.79	$919.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $628.12 / $826.47 / $1,147.95	Professional		$628.12	$826.47	$1,147.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,021.79 / $1,405.00 / $1,559.55	Professional		$1,021.79	$1,405.00	$1,559.55
United Facility/Professional Professional Modifier Low / Median / High Price $274.88 / $412.32 / $687.20	Professional		$274.88	$412.32	$687.20