Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.00 / $858.70 / $1,477.76	Facility		$310.00	$858.70	$1,477.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.00 / $405.57 / $447.52	Professional		$310.00	$405.57	$447.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $303.58 / $512.79 / $1,420.23	Facility		$303.58	$512.79	$1,420.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.74 / $279.68 / $727.52	Professional		$223.74	$279.68	$727.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $466.17 / $675.95 / $1,001.94	Facility		$466.17	$675.95	$1,001.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $696.44 / $1,025.57 / $1,437.80	Facility		$696.44	$1,025.57	$1,437.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $2,400.48 / $2,400.48	Professional		$272.70	$2,400.48	$2,400.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $419.55 / $832.63 / $2,163.37	Professional		$419.55	$832.63	$2,163.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $466.17 / $624.66 / $862.41	Professional		$466.17	$624.66	$862.41
United Facility/Professional Professional Modifier Low / Median / High Price $195.79 / $279.70 / $960.03	Professional		$195.79	$279.70	$960.03