Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.86 / $830.61 / $1,429.38	Facility		$299.86	$830.61	$1,429.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.86 / $392.29 / $432.87	Professional		$299.86	$392.29	$432.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $293.64 / $459.93 / $1,373.74	Facility		$293.64	$459.93	$1,373.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.29 / $180.36 / $703.70	Professional		$144.29	$180.36	$703.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $450.91 / $653.82 / $969.15	Facility		$450.91	$653.82	$969.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $586.17 / $992.00 / $1,390.80	Facility		$586.17	$992.00	$1,390.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.73 / $2,538.11 / $2,538.11	Professional		$360.73	$2,538.11	$2,538.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $405.82 / $586.17 / $3,513.88	Professional		$405.82	$586.17	$3,513.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $523.05 / $604.22 / $834.18	Professional		$523.05	$604.22	$834.18
United Facility/Professional Professional Modifier Low / Median / High Price $189.38 / $270.55 / $789.32	Professional		$189.38	$270.55	$789.32