Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.81 / $219.81 / $622.63	Facility		$219.81	$219.81	$622.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.81 / $316.52 / $395.73	Professional		$219.81	$316.52	$395.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $527.65 / $738.71 / $1,936.48	Facility		$527.65	$738.71	$1,936.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.31 / $438.73 / $842.36	Professional		$281.31	$438.73	$842.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $448.50 / $528.33 / $1,034.19	Facility		$448.50	$528.33	$1,034.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $448.50 / $448.50 / $448.50	Professional		$448.50	$448.50	$448.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.09 / $402.09 / $402.09	Facility		$402.09	$402.09	$402.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.52 / $393.44 / $705.20	Professional		$293.52	$393.44	$705.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $401.01 / $527.65 / $958.66	Professional		$401.01	$527.65	$958.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $342.97 / $652.36 / $976.15	Professional		$342.97	$652.36	$976.15
United Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $260.00 / $260.00	Facility		$260.00	$260.00	$260.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.49 / $263.24 / $434.30	Professional		$175.49	$263.24	$434.30