Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.54 / $310.54 / $737.65	Facility		$310.54	$310.54	$737.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.54 / $392.26 / $519.47	Professional		$310.54	$392.26	$519.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $653.91 / $915.47 / $2,399.85	Facility		$653.91	$915.47	$2,399.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.62 / $543.71 / $1,043.92	Professional		$348.62	$543.71	$1,043.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $555.82 / $654.02 / $1,209.73	Facility		$555.82	$654.02	$1,209.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $555.82 / $555.82 / $555.82	Professional		$555.82	$555.82	$555.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.60 / $408.60 / $408.60	Facility		$408.60	$408.60	$408.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.27 / $408.60 / $873.66	Professional		$298.27	$408.60	$873.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $496.97 / $653.91 / $924.82	Professional		$496.97	$653.91	$924.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,111.65 / $1,133.88 / $1,233.93	Professional		$1,111.65	$1,133.88	$1,233.93
United Facility/Professional Professional Modifier Low / Median / High Price $217.48 / $326.23 / $538.22	Professional		$217.48	$326.23	$538.22