Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.47 / $246.47 / $585.47	Facility		$246.47	$246.47	$585.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.47 / $319.98 / $412.30	Professional		$246.47	$319.98	$412.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $519.00 / $726.60 / $1,904.73	Facility		$519.00	$726.60	$1,904.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.70 / $431.54 / $828.56	Professional		$276.70	$431.54	$828.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $441.15 / $550.49 / $960.15	Facility		$441.15	$550.49	$960.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $441.15 / $441.15 / $441.15	Professional		$441.15	$441.15	$441.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $324.30 / $324.30 / $324.30	Facility		$324.30	$324.30	$324.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.74 / $236.74 / $750.75	Professional		$236.74	$236.74	$750.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $394.44 / $519.00 / $783.12	Professional		$394.44	$519.00	$783.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $641.65 / $648.75 / $661.73	Professional		$641.65	$648.75	$661.73
United Facility/Professional Professional Modifier Low / Median / High Price $172.62 / $258.92 / $431.54	Professional		$172.62	$258.92	$431.54