Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.80 / $1,512.00 / $2,282.40	Facility		$478.80	$1,512.00	$2,282.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.80 / $626.40 / $691.20	Professional		$478.80	$626.40	$691.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $379.97 / $720.00 / $923.29	Facility		$379.97	$720.00	$923.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.12 / $228.90 / $709.59	Professional		$183.12	$228.90	$709.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $1,044.00 / $1,547.50	Facility		$720.00	$1,044.00	$1,547.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,075.65 / $1,584.00 / $2,220.44	Facility		$1,075.65	$1,584.00	$2,220.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.20 / $4,053.52 / $4,053.52	Professional		$421.20	$4,053.52	$4,053.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $648.00 / $1,286.21 / $5,610.70	Professional		$648.00	$1,286.21	$5,610.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $964.80 / $1,332.00	Professional		$720.00	$964.80	$1,332.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $432.00 / $1,308.31	Professional		$302.39	$432.00	$1,308.31