Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.80 / $441.80 / $1,049.47	Facility		$441.80	$441.80	$1,049.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.55 / $496.48 / $642.94	Professional		$418.55	$496.48	$642.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $930.31 / $1,302.43 / $3,414.24	Facility		$930.31	$1,302.43	$3,414.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $495.99 / $773.54 / $1,485.20	Professional		$495.99	$773.54	$1,485.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $767.69 / $790.76 / $1,721.07	Facility		$767.69	$790.76	$1,721.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $790.76 / $790.76 / $790.76	Professional		$790.76	$790.76	$790.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $576.88 / $576.88 / $576.88	Facility		$576.88	$576.88	$576.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.12 / $421.12 / $1,072.88	Professional		$421.12	$421.12	$1,072.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.04 / $930.31 / $1,643.28	Professional		$707.04	$930.31	$1,643.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,150.17 / $1,581.53 / $1,755.50	Professional		$1,150.17	$1,581.53	$1,755.50
United Facility/Professional Professional Modifier Low / Median / High Price $309.42 / $464.12 / $766.64	Professional		$309.42	$464.12	$766.64