Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.54 / $249.54 / $666.55	Facility		$249.54	$249.54	$666.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.54 / $318.95 / $360.24	Professional		$249.54	$318.95	$360.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.58 / $375.25 / $481.20	Facility		$228.58	$375.25	$481.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.80 / $131.80 / $375.25	Professional		$131.80	$131.80	$375.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $375.25 / $544.11 / $806.52	Facility		$375.25	$544.11	$806.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.82 / $825.55 / $1,156.72	Facility		$487.82	$825.55	$1,156.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,111.50 / $2,111.50 / $2,111.50	Professional		$2,111.50	$2,111.50	$2,111.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $337.73 / $593.26 / $2,923.67	Professional		$337.73	$593.26	$2,923.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $454.05 / $525.35 / $694.21	Professional		$454.05	$525.35	$694.21
United Facility/Professional Professional Modifier Low / Median / High Price $157.61 / $225.15 / $656.88	Professional		$157.61	$225.15	$656.88