Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.42 / $271.42 / $644.74	Facility		$271.42	$271.42	$644.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.42 / $309.52 / $380.94	Professional		$271.42	$309.52	$380.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $571.54 / $800.17 / $2,097.59	Facility		$571.54	$800.17	$2,097.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.72 / $475.23 / $912.44	Professional		$303.72	$475.23	$912.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $485.82 / $521.42 / $1,057.36	Facility		$485.82	$521.42	$1,057.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $485.82 / $485.82 / $485.82	Professional		$485.82	$485.82	$485.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.44 / $328.44 / $328.44	Facility		$328.44	$328.44	$328.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.76 / $328.44 / $702.52	Professional		$239.76	$328.44	$702.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $434.38 / $571.54 / $794.24	Professional		$434.38	$571.54	$794.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $971.63 / $991.07 / $1,078.51	Professional		$971.63	$991.07	$1,078.51
United Facility/Professional Professional Modifier Low / Median / High Price $190.09 / $285.14 / $470.42	Professional		$190.09	$285.14	$470.42