Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.13 / $409.13 / $971.88	Facility		$409.13	$409.13	$971.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.13 / $481.10 / $574.22	Professional		$409.13	$481.10	$574.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $861.53 / $1,206.14 / $3,161.82	Facility		$861.53	$1,206.14	$3,161.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $459.33 / $716.35 / $1,375.39	Professional		$459.33	$716.35	$1,375.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $732.30 / $789.34 / $1,593.83	Facility		$732.30	$789.34	$1,593.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $732.30 / $732.30 / $732.30	Professional		$732.30	$732.30	$732.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.14 / $501.14 / $501.14	Facility		$501.14	$501.14	$501.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.83 / $501.14 / $1,071.70	Professional		$365.83	$501.14	$1,071.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $654.76 / $861.53 / $1,210.39	Professional		$654.76	$861.53	$1,210.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,464.60 / $1,493.89 / $1,625.71	Professional		$1,464.60	$1,493.89	$1,625.71
United Facility/Professional Professional Modifier Low / Median / High Price $286.54 / $429.81 / $709.12	Professional		$286.54	$429.81	$709.12