Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.64 / $213.64 / $507.48	Facility		$213.64	$213.64	$507.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.77 / $219.30 / $299.85	Professional		$195.77	$219.30	$299.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $449.87 / $629.82 / $1,651.02	Facility		$449.87	$629.82	$1,651.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.57 / $374.06 / $718.20	Professional		$205.57	$374.06	$718.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $286.79 / $382.39 / $832.26	Facility		$286.79	$382.39	$832.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $382.39 / $382.39 / $382.39	Professional		$382.39	$382.39	$382.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.27 / $218.27 / $218.27	Facility		$218.27	$218.27	$218.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.34 / $213.57 / $391.13	Professional		$159.34	$213.57	$391.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $341.90 / $449.87 / $624.91	Professional		$341.90	$449.87	$624.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $556.19 / $562.34 / $573.59	Professional		$556.19	$562.34	$573.59
United Facility/Professional Professional Modifier Low / Median / High Price $149.62 / $211.26 / $370.28	Professional		$149.62	$211.26	$370.28