Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.87 / $246.87 / $586.41	Facility		$246.87	$246.87	$586.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.87 / $312.22 / $412.97	Professional		$246.87	$312.22	$412.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $519.84 / $727.78 / $1,907.81	Facility		$519.84	$727.78	$1,907.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.14 / $432.24 / $829.90	Professional		$277.14	$432.24	$829.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $441.86 / $493.94 / $961.70	Facility		$441.86	$493.94	$961.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $441.86 / $441.86 / $441.86	Professional		$441.86	$441.86	$441.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.04 / $379.04 / $379.04	Facility		$379.04	$379.04	$379.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.70 / $276.70 / $694.45	Professional		$276.70	$276.70	$694.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $395.08 / $519.84 / $784.23	Professional		$395.08	$519.84	$784.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $642.70 / $649.79 / $662.80	Professional		$642.70	$649.79	$662.80
United Facility/Professional Facility Modifier Low / Median / High Price $259.82 / $259.82 / $259.82	Facility		$259.82	$259.82	$259.82
United Facility/Professional Professional Modifier Low / Median / High Price $172.90 / $259.33 / $427.87	Professional		$172.90	$259.33	$427.87