Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.45 / $523.45 / $1,398.22	Facility		$523.45	$523.45	$1,398.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.45 / $684.82 / $755.66	Professional		$523.45	$684.82	$755.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $854.78 / $1,031.17	Facility		$540.00	$854.78	$1,031.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $472.29 / $540.00 / $963.47	Professional		$472.29	$540.00	$963.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $787.15 / $1,141.36 / $1,691.82	Facility		$787.15	$1,141.36	$1,691.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.30 / $1,731.73 / $2,427.32	Facility		$1,023.30	$1,731.73	$2,427.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,431.46 / $4,431.46 / $4,431.46	Professional		$4,431.46	$4,431.46	$4,431.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $708.44 / $865.87 / $1,102.01	Professional		$708.44	$865.87	$1,102.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $913.09 / $1,054.78 / $1,456.23	Professional		$913.09	$1,054.78	$1,456.23
United Facility/Professional Professional Modifier Low / Median / High Price $330.60 / $472.29 / $1,377.91	Professional		$330.60	$472.29	$1,377.91