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 / $387.62 / $464.42	Professional		$313.48	$387.62	$464.42
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 $392.47 / $617.41 / $1,197.50	Professional		$392.47	$617.41	$1,197.50
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 $437.50 / $437.50 / $437.50	Facility		$437.50	$437.50	$437.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $437.50 / $803.25	Professional		$319.38	$437.50	$803.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $529.54 / $696.78 / $1,098.00	Professional		$529.54	$696.78	$1,098.00
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 / $627.14	Professional		$231.74	$347.62	$627.14