Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.94 / $577.10 / $750.50	Facility		$270.94	$577.10	$750.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.20 / $386.24 / $386.24	Professional		$285.20	$386.24	$386.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.86 / $407.43 / $522.46	Facility		$162.86	$407.43	$522.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $407.43	Professional		$98.11	$98.11	$407.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $407.43 / $590.77 / $875.68	Facility		$407.43	$590.77	$875.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $529.66 / $896.35 / $1,255.98	Facility		$529.66	$896.35	$1,255.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,292.66 / $2,292.66 / $2,292.66	Professional		$2,292.66	$2,292.66	$2,292.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $366.69 / $529.66 / $3,176.64	Professional		$366.69	$529.66	$3,176.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $472.62 / $545.96 / $753.75	Professional		$472.62	$545.96	$753.75
United Facility/Professional Professional Modifier Low / Median / High Price $171.12 / $244.46 / $713.21	Professional		$171.12	$244.46	$713.21