Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $645.65	Facility		$251.19	$251.19	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $288.40 / $467.74	Professional		$239.88	$288.40	$467.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,288.25 / $1,995.26	Facility		$537.03	$1,288.25	$1,995.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $724.44	Professional		$281.84	$436.52	$724.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $954.99	Facility		$331.13	$331.13	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $630.96	Professional		$239.88	$239.88	$630.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $537.03 / $794.33	Professional		$380.19	$537.03	$794.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $1,148.15	Professional		$537.03	$724.44	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $263.03 / $363.08	Facility		$165.96	$263.03	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $263.03 / $512.86	Professional		$177.83	$263.03	$512.86