Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.31 / $278.31 / $661.10	Facility		$278.31	$278.31	$661.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.95 / $351.55 / $528.57	Professional		$271.95	$351.55	$528.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $586.05 / $820.48 / $2,150.84	Facility		$586.05	$820.48	$2,150.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.80 / $519.29 / $1,007.19	Professional		$325.80	$519.29	$1,007.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $483.57 / $498.15 / $1,084.21	Facility		$483.57	$498.15	$1,084.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $498.15 / $498.15 / $498.15	Professional		$498.15	$498.15	$498.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.37 / $325.37 / $325.37	Facility		$325.37	$325.37	$325.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.52 / $237.52 / $695.80	Professional		$237.52	$237.52	$695.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $445.41 / $586.05 / $814.29	Professional		$445.41	$586.05	$814.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $580.03 / $756.02 / $1,105.89	Professional		$580.03	$756.02	$1,105.89
United Facility/Professional Professional Modifier Low / Median / High Price $194.92 / $292.38 / $582.88	Professional		$194.92	$292.38	$582.88