Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.77 / $339.77 / $807.10	Facility		$339.77	$339.77	$807.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.81 / $339.77 / $476.87	Professional		$260.81	$339.77	$476.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $715.47 / $1,001.66 / $2,625.77	Facility		$715.47	$1,001.66	$2,625.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.32 / $594.90 / $1,142.21	Professional		$326.32	$594.90	$1,142.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $456.11 / $608.15 / $1,323.62	Facility		$456.11	$608.15	$1,323.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $608.15 / $608.15 / $608.15	Professional		$608.15	$608.15	$608.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.13 / $347.13 / $347.13	Facility		$347.13	$347.13	$347.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.40 / $339.66 / $622.13	Professional		$253.40	$339.66	$622.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $543.76 / $715.47 / $994.09	Professional		$543.76	$715.47	$994.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $884.55 / $894.34 / $912.23	Professional		$884.55	$894.34	$912.23
United Facility/Professional Professional Modifier Low / Median / High Price $237.96 / $339.66 / $588.89	Professional		$237.96	$339.66	$588.89