Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.40 / $505.40 / $1,349.99	Facility		$505.40	$505.40	$1,349.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.40 / $646.00 / $729.60	Professional		$505.40	$646.00	$729.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $494.94 / $760.00 / $974.58	Facility		$494.94	$760.00	$974.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.26 / $336.26 / $760.00	Professional		$336.26	$336.26	$760.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $1,102.00 / $1,633.47	Facility		$760.00	$1,102.00	$1,633.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $1,672.00 / $2,343.73	Facility		$988.00	$1,672.00	$2,343.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,277.55 / $4,277.55 / $4,277.55	Professional		$4,277.55	$4,277.55	$4,277.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $684.00 / $1,201.85 / $5,923.49	Professional		$684.00	$1,201.85	$5,923.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $919.60 / $1,064.00 / $1,406.00	Professional		$919.60	$1,064.00	$1,406.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $456.00 / $1,596.00	Professional		$319.20	$456.00	$1,596.00