Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $493.61 / $1,367.30 / $2,353.00	Facility		$493.61	$1,367.30	$2,353.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $493.61 / $630.92 / $712.58	Professional		$493.61	$630.92	$712.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $556.70 / $806.05 / $1,398.40	Facility		$556.70	$806.05	$1,398.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $556.70 / $699.20 / $1,258.56	Professional		$556.70	$699.20	$1,258.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $742.27 / $1,076.29 / $1,595.36	Facility		$742.27	$1,076.29	$1,595.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,108.93 / $1,632.99 / $2,288.37	Facility		$1,108.93	$1,632.99	$2,288.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.82 / $4,178.22 / $4,178.22	Professional		$593.82	$4,178.22	$4,178.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $668.04 / $964.95 / $5,784.79	Professional		$668.04	$964.95	$5,784.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $742.27 / $994.64 / $1,373.20	Professional		$742.27	$994.64	$1,373.20
United Facility/Professional Facility Modifier Low / Median / High Price $668.04 / $668.04 / $668.04	Facility		$668.04	$668.04	$668.04
United Facility/Professional Professional Modifier Low / Median / High Price $311.75 / $445.36 / $1,299.33	Professional		$311.75	$445.36	$1,299.33