Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.79 / $200.79 / $568.76	Facility		$200.79	$200.79	$568.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.79 / $285.12 / $360.06	Professional		$200.79	$285.12	$360.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $482.00 / $674.80 / $1,768.94	Facility		$482.00	$674.80	$1,768.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.97 / $400.77 / $769.48	Professional		$256.97	$400.77	$769.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $409.70 / $479.76 / $891.70	Facility		$409.70	$479.76	$891.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $409.70 / $409.70 / $409.70	Professional		$409.70	$409.70	$409.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $365.10 / $365.10 / $365.10	Facility		$365.10	$365.10	$365.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.52 / $357.26 / $644.27	Professional		$266.52	$357.26	$644.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $366.32 / $482.00 / $875.48	Professional		$366.32	$482.00	$875.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $313.30 / $595.91 / $891.70	Professional		$313.30	$595.91	$891.70
United Facility/Professional Professional Modifier Low / Median / High Price $160.31 / $240.46 / $396.73	Professional		$160.31	$240.46	$396.73