Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.68 / $415.68 / $987.40	Facility		$415.68	$415.68	$987.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.48 / $525.07 / $987.40	Professional		$378.48	$525.07	$987.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $875.30 / $1,225.42 / $3,212.35	Facility		$875.30	$1,225.42	$3,212.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $439.23 / $766.45 / $1,397.38	Professional		$439.23	$766.45	$1,397.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $638.55 / $744.01 / $1,619.31	Facility		$638.55	$744.01	$1,619.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $744.01 / $744.01 / $744.01	Professional		$744.01	$744.01	$744.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $488.53 / $488.53 / $488.53	Facility		$488.53	$488.53	$488.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.63 / $520.79 / $755.97	Professional		$356.63	$520.79	$755.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $665.23 / $875.30 / $1,701.00	Professional		$665.23	$875.30	$1,701.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,082.16 / $1,517.78 / $1,651.70	Professional		$1,082.16	$1,517.78	$1,651.70
United Facility/Professional Professional Modifier Low / Median / High Price $291.12 / $436.68 / $854.79	Professional		$291.12	$436.68	$854.79