Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.19 / $226.19 / $537.29	Facility		$226.19	$226.19	$537.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.19 / $286.07 / $405.44	Professional		$226.19	$286.07	$405.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $476.30 / $666.82 / $1,748.02	Facility		$476.30	$666.82	$1,748.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.94 / $396.04 / $760.40	Professional		$253.94	$396.04	$760.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $404.86 / $476.30 / $933.55	Facility		$404.86	$476.30	$933.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $404.86 / $404.86 / $404.86	Professional		$404.86	$404.86	$404.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.62 / $297.62 / $297.62	Facility		$297.62	$297.62	$297.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.26 / $297.62 / $633.75	Professional		$217.26	$297.62	$633.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $361.99 / $476.30 / $719.43	Professional		$361.99	$476.30	$719.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $588.87 / $595.38 / $607.29	Professional		$588.87	$595.38	$607.29
United Facility/Professional Professional Modifier Low / Median / High Price $158.41 / $237.62 / $392.04	Professional		$158.41	$237.62	$392.04