Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.55 / $323.55 / $864.24	Facility		$323.55	$323.55	$864.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.55 / $423.29 / $467.08	Professional		$323.55	$423.29	$467.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.83 / $496.27 / $632.50	Facility		$288.83	$496.27	$632.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.83 / $288.83 / $641.22	Professional		$288.83	$288.83	$641.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $486.54 / $705.48 / $1,045.71	Facility		$486.54	$705.48	$1,045.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $632.50 / $1,070.39 / $1,500.49	Facility		$632.50	$1,070.39	$1,500.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,738.73 / $2,738.73 / $2,738.73	Professional		$2,738.73	$2,738.73	$2,738.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $437.89 / $535.19 / $681.16	Professional		$437.89	$535.19	$681.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $486.54 / $651.96 / $900.10	Professional		$486.54	$651.96	$900.10
United Facility/Professional Professional Modifier Low / Median / High Price $204.35 / $291.92 / $851.69	Professional		$204.35	$291.92	$851.69