Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.76 / $190.76 / $453.14	Facility		$190.76	$190.76	$453.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.76 / $235.83 / $319.11	Professional		$190.76	$235.83	$319.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $401.69 / $562.37 / $1,474.20	Facility		$401.69	$562.37	$1,474.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.16 / $334.00 / $641.28	Professional		$214.16	$334.00	$641.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $341.44 / $392.12 / $743.13	Facility		$341.44	$392.12	$743.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $341.44 / $341.44 / $341.44	Professional		$341.44	$341.44	$341.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.00 / $251.00 / $251.00	Facility		$251.00	$251.00	$251.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.23 / $251.00 / $465.75	Professional		$183.23	$251.00	$465.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $305.27 / $401.69 / $606.29	Professional		$305.27	$401.69	$606.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $496.63 / $502.11 / $512.16	Professional		$496.63	$502.11	$512.16
United Facility/Professional Facility Modifier Low / Median / High Price $345.78 / $345.78 / $345.78	Facility		$345.78	$345.78	$345.78
United Facility/Professional Professional Modifier Low / Median / High Price $133.60 / $200.40 / $330.63	Professional		$133.60	$200.40	$330.63