Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.61 / $251.61 / $712.70	Facility		$251.61	$251.61	$712.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.61 / $357.28 / $402.57	Professional		$251.61	$357.28	$402.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $603.98 / $845.57 / $2,216.61	Facility		$603.98	$845.57	$2,216.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.99 / $502.20 / $964.22	Professional		$321.99	$502.20	$964.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $513.38 / $684.51 / $1,117.35	Facility		$513.38	$684.51	$1,117.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $513.38 / $513.38 / $513.38	Professional		$513.38	$513.38	$513.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $427.13 / $427.13 / $427.13	Facility		$427.13	$427.13	$427.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.80 / $417.95 / $765.38	Professional		$311.80	$417.95	$765.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $459.02 / $603.98 / $838.94	Professional		$459.02	$603.98	$838.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $392.59 / $746.72 / $1,117.35	Professional		$392.59	$746.72	$1,117.35
United Facility/Professional Professional Modifier Low / Median / High Price $200.88 / $301.32 / $497.12	Professional		$200.88	$301.32	$497.12