Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $580.60 / $1,299.38 / $1,299.38	Facility		$580.60	$1,299.38	$1,299.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.82 / $318.82 / $942.77	Professional		$318.82	$318.82	$942.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $170.04 / $409.90 / $1,248.80	Facility		$170.04	$409.90	$1,248.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.78 / $80.97 / $368.91	Professional		$64.78	$80.97	$368.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $409.90 / $594.36 / $880.99	Facility		$409.90	$594.36	$880.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $612.39 / $901.78 / $1,264.33	Facility		$612.39	$901.78	$1,264.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.44 / $2,110.03 / $2,110.03	Professional		$266.44	$2,110.03	$2,110.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $368.91 / $732.09 / $1,902.64	Professional		$368.91	$732.09	$1,902.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $409.90 / $549.27 / $758.32	Professional		$409.90	$549.27	$758.32
United Facility/Professional Professional Modifier Low / Median / High Price $172.16 / $245.94 / $744.83	Professional		$172.16	$245.94	$744.83