Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.69 / $204.69 / $579.80	Facility		$204.69	$204.69	$579.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.69 / $288.01 / $344.14	Professional		$204.69	$288.01	$344.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $491.36 / $687.90 / $1,803.29	Facility		$491.36	$687.90	$1,803.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.95 / $408.55 / $784.42	Professional		$261.95	$408.55	$784.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $417.66 / $485.29 / $909.02	Facility		$417.66	$485.29	$909.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $417.66 / $417.66 / $417.66	Professional		$417.66	$417.66	$417.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.54 / $305.54 / $305.54	Facility		$305.54	$305.54	$305.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.04 / $305.54 / $653.23	Professional		$223.04	$305.54	$653.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $373.43 / $491.36 / $682.27	Professional		$373.43	$491.36	$682.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $607.48 / $909.02	Professional		$319.38	$607.48	$909.02
United Facility/Professional Facility Modifier Low / Median / High Price $244.40 / $244.40 / $244.40	Facility		$244.40	$244.40	$244.40
United Facility/Professional Professional Modifier Low / Median / High Price $163.41 / $245.13 / $404.43	Professional		$163.41	$245.13	$404.43