Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.17 / $1,188.75 / $1,188.75	Facility		$531.17	$1,188.75	$1,188.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $292.50 / $326.25	Professional		$225.00	$292.50	$326.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $375.00 / $480.88	Facility		$150.00	$375.00	$480.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $150.00 / $465.00	Professional		$120.00	$150.00	$465.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $543.75 / $805.99	Facility		$375.00	$543.75	$805.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $560.24 / $825.00 / $1,156.72	Facility		$560.24	$825.00	$1,156.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.38 / $2,111.50 / $2,111.50	Professional		$219.38	$2,111.50	$2,111.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $487.50 / $2,923.67	Professional		$375.00	$487.50	$2,923.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $502.50 / $693.75	Professional		$375.00	$502.50	$693.75
United Facility/Professional Professional Modifier Low / Median / High Price $157.50 / $225.00 / $656.44	Professional		$157.50	$225.00	$656.44