Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.54 / $414.54 / $984.73	Facility		$414.54	$414.54	$984.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.54 / $523.63 / $700.00	Professional		$414.54	$523.63	$700.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $872.92 / $1,222.08 / $3,203.62	Facility		$872.92	$1,222.08	$3,203.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $496.06 / $773.50 / $1,393.57	Professional		$496.06	$773.50	$1,393.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $729.95 / $833.48 / $1,614.90	Facility		$729.95	$833.48	$1,614.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $741.98 / $741.98 / $741.98	Professional		$741.98	$741.98	$741.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $579.51 / $579.51 / $579.51	Facility		$579.51	$579.51	$579.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.04 / $596.90 / $878.08	Professional		$423.04	$596.90	$878.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $663.42 / $872.92 / $1,314.00	Professional		$663.42	$872.92	$1,314.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,079.21 / $1,513.65 / $1,647.20	Professional		$1,079.21	$1,513.65	$1,647.20
United Facility/Professional Professional Modifier Low / Median / High Price $290.33 / $435.49 / $852.46	Professional		$290.33	$435.49	$852.46