Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.07 / $205.07 / $487.15	Facility		$205.07	$205.07	$487.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.28 / $230.44 / $298.42	Professional		$194.28	$230.44	$298.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $431.84 / $604.58 / $1,584.85	Facility		$431.84	$604.58	$1,584.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.86 / $359.06 / $689.40	Professional		$229.86	$359.06	$689.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $356.30 / $367.06 / $798.90	Facility		$356.30	$367.06	$798.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $367.06 / $367.06 / $367.06	Professional		$367.06	$367.06	$367.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.01 / $252.01 / $252.01	Facility		$252.01	$252.01	$252.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.97 / $252.01 / $498.00	Professional		$183.97	$252.01	$498.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $328.20 / $431.84 / $599.70	Professional		$328.20	$431.84	$599.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $533.90 / $539.79 / $550.60	Professional		$533.90	$539.79	$550.60
United Facility/Professional Professional Modifier Low / Median / High Price $143.62 / $215.44 / $355.43	Professional		$143.62	$215.44	$355.43