Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.76 / $363.76 / $864.08	Facility		$363.76	$363.76	$864.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.76 / $472.25 / $608.51	Professional		$363.76	$472.25	$608.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $765.99 / $1,072.39 / $2,811.18	Facility		$765.99	$1,072.39	$2,811.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.38 / $636.91 / $1,222.86	Professional		$408.38	$636.91	$1,222.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $651.09 / $807.24 / $1,501.34	Facility		$651.09	$807.24	$1,501.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $651.09 / $651.09 / $651.09	Professional		$651.09	$651.09	$651.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.80 / $550.80 / $550.80	Facility		$550.80	$550.80	$550.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.09 / $550.80 / $1,023.31	Professional		$402.09	$550.80	$1,023.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $582.15 / $765.99 / $1,156.58	Professional		$582.15	$765.99	$1,156.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,302.18 / $1,328.23 / $1,445.42	Professional		$1,302.18	$1,328.23	$1,445.42
United Facility/Professional Professional Modifier Low / Median / High Price $254.76 / $382.15 / $630.46	Professional		$254.76	$382.15	$630.46