Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.00 / $949.25 / $1,021.58	Facility		$399.00	$949.25	$1,021.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $522.00 / $576.00	Professional		$360.00	$522.00	$576.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $332.25 / $600.00 / $1,827.96	Facility		$332.25	$600.00	$1,827.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.29 / $180.36 / $726.00	Professional		$144.29	$180.36	$726.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $870.00 / $1,289.57	Facility		$600.00	$870.00	$1,289.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $780.00 / $1,320.00 / $1,665.50	Facility		$780.00	$1,320.00	$1,665.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.08 / $3,377.63 / $3,377.63	Professional		$241.08	$3,377.63	$3,377.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $780.00 / $4,677.88	Professional		$540.00	$780.00	$4,677.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $696.00 / $804.00 / $1,110.00	Professional		$696.00	$804.00	$1,110.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $180.81 / $961.31	Professional		$126.57	$180.81	$961.31