Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.35 / $196.35 / $466.41	Facility		$196.35	$196.35	$466.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.35 / $248.33 / $356.85	Professional		$196.35	$248.33	$356.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $413.46 / $578.84 / $1,517.40	Facility		$413.46	$578.84	$1,517.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.43 / $343.79 / $660.08	Professional		$220.43	$343.79	$660.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $351.44 / $413.51 / $810.38	Facility		$351.44	$413.51	$810.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $351.44 / $351.44 / $351.44	Professional		$351.44	$351.44	$351.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.20 / $273.20 / $273.20	Facility		$273.20	$273.20	$273.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.44 / $273.20 / $552.41	Professional		$199.44	$273.20	$552.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.23 / $413.46 / $623.87	Professional		$314.23	$413.46	$623.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $702.88 / $716.94 / $780.20	Professional		$702.88	$716.94	$780.20
United Facility/Professional Professional Modifier Low / Median / High Price $137.52 / $206.27 / $340.32	Professional		$137.52	$206.27	$340.32