Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.04 / $187.04 / $444.30	Facility		$187.04	$187.04	$444.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.04 / $242.82 / $340.67	Professional		$187.04	$242.82	$340.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $393.85 / $551.39 / $1,445.43	Facility		$393.85	$551.39	$1,445.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.98 / $327.48 / $628.76	Professional		$209.98	$327.48	$628.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $334.77 / $420.72 / $771.95	Facility		$334.77	$420.72	$771.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $334.77 / $334.77 / $334.77	Professional		$334.77	$334.77	$334.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.11 / $246.11 / $246.11	Facility		$246.11	$246.11	$246.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.66 / $246.10 / $526.44	Professional		$179.66	$246.10	$526.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $299.33 / $393.85 / $594.21	Professional		$299.33	$393.85	$594.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $669.54 / $682.94 / $743.20	Professional		$669.54	$682.94	$743.20
United Facility/Professional Professional Modifier Low / Median / High Price $133.06 / $196.49 / $324.17	Professional		$133.06	$196.49	$324.17