Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.90 / $330.90 / $786.00	Facility		$330.90	$330.90	$786.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.48 / $371.82 / $524.65	Professional		$313.48	$371.82	$524.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $696.78 / $975.49 / $2,557.17	Facility		$696.78	$975.49	$2,557.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.53 / $561.28 / $1,112.36	Professional		$366.53	$561.28	$1,112.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $574.92 / $592.26 / $1,289.04	Facility		$574.92	$592.26	$1,289.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $592.26 / $592.26 / $592.26	Professional		$592.26	$592.26	$592.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.84 / $386.84 / $386.84	Facility		$386.84	$386.84	$386.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.39 / $386.83 / $803.25	Professional		$282.39	$386.83	$803.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $529.54 / $696.78 / $968.20	Professional		$529.54	$696.78	$968.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $689.59 / $891.39 / $1,289.04	Professional		$689.59	$891.39	$1,289.04
United Facility/Professional Professional Modifier Low / Median / High Price $231.74 / $347.62 / $579.36	Professional		$231.74	$347.62	$579.36