Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.44 / $725.91 / $862.69	Facility		$311.44	$725.91	$862.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.83 / $327.83 / $862.69	Professional		$327.83	$327.83	$862.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $259.33 / $468.33 / $600.55	Facility		$259.33	$468.33	$600.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.20 / $187.20 / $580.32	Professional		$187.20	$187.20	$580.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $468.33 / $679.08 / $1,006.57	Facility		$468.33	$679.08	$1,006.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $608.82 / $1,030.33 / $1,444.07	Facility		$608.82	$1,030.33	$1,444.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,635.52 / $2,635.52 / $2,635.52	Professional		$2,635.52	$2,635.52	$2,635.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $421.50 / $608.83 / $3,649.85	Professional		$421.50	$608.83	$3,649.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $543.26 / $627.55 / $866.41	Professional		$543.26	$627.55	$866.41
United Facility/Professional Professional Modifier Low / Median / High Price $196.70 / $281.00 / $819.81	Professional		$196.70	$281.00	$819.81