Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.72 / $272.72 / $772.50	Facility		$272.72	$272.72	$772.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.72 / $387.26 / $455.65	Professional		$272.72	$387.26	$455.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $654.66 / $916.52 / $2,402.60	Facility		$654.66	$916.52	$2,402.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.00 / $544.34 / $1,045.13	Professional		$349.00	$544.34	$1,045.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $556.46 / $645.41 / $1,211.11	Facility		$556.46	$645.41	$1,211.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $556.46 / $556.46 / $556.46	Professional		$556.46	$556.46	$556.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $484.42 / $484.42 / $484.42	Facility		$484.42	$484.42	$484.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.63 / $474.01 / $868.13	Professional		$353.63	$474.01	$868.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $497.54 / $654.66 / $909.61	Professional		$497.54	$654.66	$909.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $425.53 / $809.38 / $1,211.11	Professional		$425.53	$809.38	$1,211.11
United Facility/Professional Professional Modifier Low / Median / High Price $255.66 / $326.60 / $544.34	Professional		$255.66	$326.60	$544.34