Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.96 / $1,077.42 / $1,854.13	Facility		$388.96	$1,077.42	$1,854.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.96 / $497.17 / $561.50	Professional		$388.96	$497.17	$561.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.91 / $635.16 / $1,781.96	Facility		$380.91	$635.16	$1,781.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.63 / $288.83 / $1,117.16	Professional		$216.63	$288.83	$1,117.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $848.11 / $1,257.11	Facility		$584.90	$848.11	$1,257.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $760.38 / $1,286.78 / $1,803.52	Facility		$760.38	$1,286.78	$1,803.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.92 / $3,291.96 / $3,291.96	Professional		$467.92	$3,291.96	$3,291.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $526.41 / $760.37 / $4,558.22	Professional		$526.41	$760.37	$4,558.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $678.48 / $783.77 / $1,082.07	Professional		$678.48	$783.77	$1,082.07
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $350.94 / $1,023.87	Professional		$245.66	$350.94	$1,023.87