Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.33 / $286.33 / $680.17	Facility		$286.33	$286.33	$680.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.26 / $322.38 / $454.01	Professional		$271.26	$322.38	$454.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.92 / $844.10 / $2,212.75	Facility		$602.92	$844.10	$2,212.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.57 / $501.33 / $962.55	Professional		$321.57	$501.33	$962.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $504.88 / $512.49 / $1,115.42	Facility		$504.88	$512.49	$1,115.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $512.49 / $512.49 / $512.49	Professional		$512.49	$512.49	$512.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.61 / $380.61 / $380.61	Facility		$380.61	$380.61	$380.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.85 / $277.85 / $717.30	Professional		$277.85	$277.85	$717.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $458.23 / $602.92 / $1,066.36	Professional		$458.23	$602.92	$1,066.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $745.42 / $1,024.98 / $1,137.73	Professional		$745.42	$1,024.98	$1,137.73
United Facility/Professional Professional Modifier Low / Median / High Price $200.53 / $300.80 / $496.27	Professional		$200.53	$300.80	$496.27