Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.00 / $310.00 / $828.06	Facility		$310.00	$310.00	$828.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.00 / $405.57 / $447.52	Professional		$310.00	$405.57	$447.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $349.63 / $506.23 / $846.26	Facility		$349.63	$506.23	$846.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.35 / $423.14 / $472.43	Professional		$317.35	$423.14	$472.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $466.17 / $675.95 / $1,001.94	Facility		$466.17	$675.95	$1,001.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.02 / $1,025.57 / $1,437.80	Facility		$606.02	$1,025.57	$1,437.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,623.78 / $2,623.78 / $2,623.78	Professional		$2,623.78	$2,623.78	$2,623.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $419.55 / $512.79 / $652.64	Professional		$419.55	$512.79	$652.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $540.76 / $624.66 / $862.41	Professional		$540.76	$624.66	$862.41
United Facility/Professional Facility Modifier Low / Median / High Price $419.55 / $419.55 / $466.17	Facility		$419.55	$419.55	$466.17
United Facility/Professional Professional Modifier Low / Median / High Price $195.79 / $279.70 / $851.69	Professional		$195.79	$279.70	$851.69