Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.83 / $457.08 / $656.02	Facility		$236.83	$457.08	$656.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.68 / $277.77 / $355.00	Professional		$213.68	$277.77	$355.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.31 / $386.73 / $506.75	Facility		$241.31	$386.73	$506.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.31 / $241.31 / $512.83	Professional		$241.31	$241.31	$512.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $356.13 / $516.39 / $765.41	Facility		$356.13	$516.39	$765.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $462.96 / $783.49 / $1,098.20	Facility		$462.96	$783.49	$1,098.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,004.40 / $2,004.40 / $2,004.40	Professional		$2,004.40	$2,004.40	$2,004.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $320.52 / $462.97 / $2,776.85	Professional		$320.52	$462.97	$2,776.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $413.11 / $477.21 / $658.84	Professional		$413.11	$477.21	$658.84
United Facility/Professional Professional Modifier Low / Median / High Price $149.57 / $213.68 / $647.12	Professional		$149.57	$213.68	$647.12