Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.74 / $471.74 / $1,120.58	Facility		$471.74	$471.74	$1,120.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.98 / $530.12 / $662.10	Professional		$460.98	$530.12	$662.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $993.37 / $1,390.72 / $3,645.67	Facility		$993.37	$1,390.72	$3,645.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $506.78 / $825.97 / $1,585.86	Professional		$506.78	$825.97	$1,585.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $819.73 / $844.36 / $1,837.73	Facility		$819.73	$844.36	$1,837.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $844.36 / $844.36 / $844.36	Professional		$844.36	$844.36	$844.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.53 / $551.53 / $551.53	Facility		$551.53	$551.53	$551.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.62 / $402.62 / $1,145.25	Professional		$402.62	$402.62	$1,145.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $754.96 / $993.37 / $1,379.64	Professional		$754.96	$993.37	$1,379.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $658.61 / $1,241.71 / $1,837.73	Professional		$658.61	$1,241.71	$1,837.73
United Facility/Professional Professional Modifier Low / Median / High Price $330.39 / $495.58 / $817.63	Professional		$330.39	$495.58	$817.63