Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.71 / $378.71 / $899.58	Facility		$378.71	$378.71	$899.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.52 / $427.88 / $581.23	Professional		$373.52	$427.88	$581.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $797.45 / $1,116.43 / $2,926.64	Facility		$797.45	$1,116.43	$2,926.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $429.00 / $663.07 / $1,273.08	Professional		$429.00	$663.07	$1,273.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $636.85 / $677.83 / $1,475.28	Facility		$636.85	$677.83	$1,475.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $677.83 / $677.83 / $677.83	Professional		$677.83	$677.83	$677.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.57 / $450.57 / $450.57	Facility		$450.57	$450.57	$450.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.92 / $450.57 / $868.50	Professional		$328.92	$450.57	$868.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $606.05 / $797.45 / $1,108.13	Professional		$606.05	$797.45	$1,108.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $878.20 / $1,016.75 / $1,504.79	Professional		$878.20	$1,016.75	$1,504.79
United Facility/Professional Professional Modifier Low / Median / High Price $265.23 / $397.84 / $656.37	Professional		$265.23	$397.84	$656.37